参保职工就诊和购药利用及其影响因素分析

Analysis on the Visiting Times and Drugstore Use of Insurants and Influencing Factors

在中英城市社区卫生服务与扶贫项目的资助下,采用完全随机抽样方法,在项目市抽取18 273名参保职工的基本信息和参保期间的就诊、购药利用信息,借助Kolmogorov-Smirnov检验和Poisson回归分析的方法对该人群的就诊、购药利用及其影响因素进行了分析.研究结果表明:参保职工年人均就诊1.84人次、在定点药店购药3.13人次;影响其就诊、购药次数的因素包括性别、年龄、单位类别、工作类别、参保时间、缴费工资基数:男性的购药次数高于女性,而女性的就诊次数高于男性;随着参保职工年龄的增大,对就诊、购药的利用逐渐增多:国家机关单位职工的就诊、购药次数高于事业单位,事业单位高于企业单位,在参保0.5～3.0年内,随参保时间的延长,就诊、购药的利用逐渐增多;缴费基数高于500元的职工,随缴费基数的增加,就诊、购药的利用次数增多,但缴费基数低于500元者情况例外.

With the support of China-UK urban community health and poverty project,the information on basic personal characteristics and health service and drugstore use of 18 273 insurants was retrieved from one of the project cities,the randomly sampling method employed.Kolmogorov-Smirnov test and Poisson regression analysis were conducted to explore the quantities of visiting times and drugstore use of insurants and their in fluencing factors.The results showed :The average visting times was 1.84 per person per year,the average frequencies of drugstore use in 3.13 per person per year;the influencing factors included gender,age,unit categories,insured periods,premium;The drugstore use of male was higher than female's,the females's visiting times were higher than male's;With aging the visiting times and drugstore use increased;Officers'visiting times and drugstore use were higher than other employees;From half a year to 3 years of insured periods ,with time ongoing,the visting times and drugstore uses grew up ;More the premium,more the visiting times and drugstore uses,except for insurants whose premium base was lower than 500 Yuan.