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文章简述了两周门诊就诊Logistic概率模型、门诊就诊费用Loglinear模型、自我医疗条件概率模型和两周疾病痊愈概率模型。并对1993年国家卫生服务家庭健康询问调查资料,利用就诊概率模型和就诊费用对数线性模型进行分析。分析结果认为,经济收入和卫生服务可得性是影响农村居民就诊的最主要因素。农村居民门诊服务需求及利用差距,主要反映于不同人群就诊过程的资源消耗,不同人群自我医疗能力存在差异。建议要完善合作医疗保障制度,确定农村基本卫生服务内涵,建立特贫人群医疗救济制度,重视儿童、妇女、老年医疗保健,合理布局卫生机构。
The article briefly described two-week outpatient visits with Logistic probability model, outpatient visit cost Loglinear model, self-care condition probabilistic model and two-week disease recovery probability model. In 1993, the national health service family health survey survey data was used to analyze the logarithm linear model of the visiting probability model and the visiting cost. The analysis found that economic income and availability of health services are the most important factors affecting rural residents’ visits. The demand and utilization gap of rural residents’ outpatient services mainly reflects the resource consumption of different groups of people during the treatment process. There are differences in the self-care capabilities of different groups of people. It is recommended to improve the cooperative medical security system, determine the connotation of basic health services in rural areas, establish a medical relief system for special poverty groups, attach importance to children, women, and elderly health care, and rationalize health facilities.