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下岗职工家庭利用社区卫生服务的影响因素分析

Analysis on Influencing Factors for Utilizing Community Health Services for Laid-off Families

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【作者】 郭清; 李晓惠; 王小合; 马海燕; 许亮文; 李宇阳; 汪胜; 黄玉兰; 雷晓盛;

【Author】 GUO Qing,LI Xiao-hui,WANG Xiao-he,et al.Department of Health Management,School of Medical of Hangzhou Normal University,Hangzhou 310018,China.

【机构】 杭州师范学院医药卫生管理学院; 深圳职业技术学院医护系; 杭州师范学院医药卫生管理学院;

【摘要】 目的探讨下岗职工家庭就诊医疗机构的选择意向和影响因素。方法应用整群随机抽样的方法对5市941户下岗家庭(3050人)进行入户询问调查。结果下岗职工家庭成员经常就诊和2周患病就诊的前3位的医疗机构是社区卫生服务机构、市级医院和私人诊所。下岗职工家庭成员中以25~35岁年龄段人群、人均月收入低于400元的家庭、医疗保障以自费形式的家庭、门诊费用以自费形式的家庭、家庭距社区卫生服务机构1km以内的家庭社区卫生服务的利用率最高。结论(1)社区卫生服务是下岗职工家庭健康保障的有效途径;(2)社区卫生服务是下岗职工家庭实施医疗救助的最好平台。

【Abstract】 Objective To investigate the intention selecting health organization for laid-off families and the correlated factors.Methods Totally 941 jobless families(3050 persons) were randomly selected with cluster sampling in 5 cities,and in-depth interview was performed.Results Community health service organizations,hospitals of city level and individual clinic were frequently selected by laid-off families for seeing doctors; The heist rate of utilizing community health service was for the population of 25 ~35 years old,whose incoming under 400 RMB,whose medical security at one′s expense,and whose house away from community health service organizations within one kilometer.Conclusion (1)Community health service is a effectual way for laid-off families health security.(2)Community health service is the best platform for medical aid of laid-off families.

【基金】 2002年国家社会科学基金(02CSH011)
  • 【文献出处】 中国全科医学 ,Chinese General Practice , 编辑部邮箱 ,2006年15期
  • 【分类号】R197.1
  • 【被引频次】6
  • 【下载频次】98
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