深圳市流动人口社区卫生服务供给与保障研究概述

Supply and Guarantee of Community Health Service for Floating Population in Shenzhen

目的探讨为流动人口提供社区卫生服务的可行办法、服务方式、优先领域等。方法采用文献研究与现场调查相结合, 定量研究与定性研究相结合, 在综述近几年国内外流动人口卫生服务研究的基础上, 分层随机抽样调查了深圳市宝安区流动人口的卫生服务需求、利用及社区卫生服务提供现状。结果流动人口在社区卫生服务提供与利用中处于弱势地位, 卫生服务需求较高, 而利用较低。流动人口的两周患病率为19 .07%,41 .4%不知道“社康中心”, 87 .6%不知道社康中心联系电话。7 .7%在社康中心建立健康档案, 1 .5%与社康中心签订了保健合同。结论加强社区卫生服务网络建设, 强化社区卫生服务发展理念, 加大社区卫生服务宣传,建立流动人口医疗保障制度, 多方面筹措资金, 不断提高深圳市流动人口社区卫生服务供给与利用水平。

Objective To probe into the feasible ways, service models, prior services for the supply of community health service in floating population. Methods Both quantitive and qualitative approaches were used, such as literature review, field investigation. The information about the health service demand, utilization and current situation of community health service in floating population was the emphasis in the survey. Results The weak position was the character in the supply and utilization of community health services for the floating population. Two week morbidity was 19.07%; 41.4% had no idea about “centers of community health services”; 7.7% had health files in CHCs and 1.5% had contracted with CHCs. Conclusions It is necessary to enhance the number of CHCs, to transform the developmental idea, to propagandize for community health service; to set up health guarantee system for floating population.