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基于场域理论的空巢家庭健康服务需求一致性实证研究

Empirical Study on Consistency of Empty Nest Family Health Service Demand Based on Field Theory

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【作者】 程雪艳吴悦张亮

【Author】 CHENG Xue-yan;WU Yue;ZHANG Liang;School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology;

【通讯作者】 张亮;

【机构】 华中科技大学同济医学院医药卫生管理学院上海市疾病预防控制中心

【摘要】 目的:在场域理论的基础上探讨我国农村地区空巢家庭居民健康服务需求一致性的现状。方法:根据多阶段随机抽样共抽取了2 715户7 293名居民,文章筛选出803户空巢家庭,1 606位居民进行健康服务需求一致性研究。结果:空巢家庭居民健康服务需求一致性除卫生服务、家庭医生等服务需求外均大于50%,其中互联网医疗需求一致性达96.0%,高血压随访比例为89.1%,心理健康服务比例为72.5%。其中文化资本、符号资本以及健康水平对家庭健康服务需求一致性具备统计学差异。结论:我国农村地区空巢家庭健康服务需求具有一定程度的一致性,研究为建立健全以家庭为单位的健康服务供给模式提供循证依据,对提高农村基层健康服务供给体系效率具有重要的借鉴意义。

【Abstract】 Objective: On the basis of field theory, this paper discusses the current situation of the consistency of health service demand of empty-nest family residents in rural areas of China. Methods: A total of 2,715 with 7293 residents were selected by a multistage random sampling strategy. At last, a total of 1,606 residents in 803 empty-nest households were selected in this study. Results: The health service demand consistency for health services and family physician is no more than 50%. The rate for Internet medical demand is 96%, for follow-up rate of hypertension is 89.1%, and for mental health services is 72.5%. In general, culture, symbolic capital and health level have statistically different consistency in family health service demand. Conclusion: The demand for health services for empty-nest families in rural areas of China has a certain degree of consistency. The results can be used as reference for providing familybased health services, and provide an effective reference for improving the efficiency of rural grassroots health service delivery systems.

【基金】 国家自然科学基金重点项目(71734003)
  • 【文献出处】 中国卫生经济 ,Chinese Health Economics , 编辑部邮箱 ,2019年12期
  • 【分类号】R197.1
  • 【被引频次】2
  • 【下载频次】233
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