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目的:了解参加与未参加劳务工医疗保险的劳务工卫生服务需求和利用的不同,为推动劳务工医疗保险制度的健康发展提供依据。方法:采用整群随机抽样的方法,分别对深圳市2080名参加与2554名未参加劳务工医疗保险的劳务工卫生服务需求、利用等进行问卷调查。结果:(1)参保人员两周患病率为25.53%,未参保人员两周患病率为22.24%;(2)参保人员两周患病就诊率为20.10%,未参保人员两周患病率为15.47%;(3)参保人员住院率为3.56%,未参保人员住院率为3.05%;(4)参保人员两周患病就诊单位主要是社康中心(42.44%)和街道医院(22.69%),未参保人员主要是个体诊所(32.45%)和社康中心(23.40%);(5)参保人员次均住院费用、间接费用分别为2723.4、837.7,未参保人员分别为1890.5、665.6。结论:参保人员两周患病率、两周患病就诊率均高于未参保人员;卫生服务可及性差;一些医疗机构存在诱导现象;参保病人流向较为合理。
OBJECTIVE: To understand the difference between the demand and utilization of health service for migrant workers taking part in and not participating in the medical insurance for migrant workers, and provide the basis for promoting the healthy development of the medical insurance for migrant workers. Methods: A cluster random sampling method was used to conduct a questionnaire survey on the demand and utilization of 2080 workers participating in Shenzhen and 2,554 migrant workers who did not participate in labor insurance. Results: (1) The two-week prevalence rate of insured persons was 25.53% and that of uninsured persons was 22.24% in two weeks; (2) The prevalence of insured persons was 20.10% in two weeks, and uninsured The prevalence rate of two weeks was 15.47%; (3) the hospitalization rate of insured persons was 3.56% and that of uninsured persons was 3.05%; (4) The two-week prevalence of insured persons mainly consisted of community health centers (42.44 %) And street hospitals (22.69%). The uninsured staffs are mainly individual clinics (32.45%) and social health centers (23.40%). (5) The average hospitalization costs of insured persons are respectively 2723.4 and 837.7, Uninsured personnel were 1890.5,665.6 respectively. Conclusion: The two-week prevalence of insured persons and the prevalence of two-week prevalence are higher than those of uninsured; poor access to health services; some medical institutions have induced phenomena; and the flow of insured patients is more reasonable.