上海市闸北区万荣社区外来人口卫生服务研究

Study on Health Service in Migrant Population in Wanrong Community of Zhabei District in Shanghai

目的探讨上海市外来人口卫生服务现状和卫生服务提供中存在的问题。方法利用现有资料分析、现状调查的定量研究以及小组访谈的定性研究等方法。结果外来人口除传染病患病率和住院率较高外,对其他卫生服务需求和利用均较低,这可能与外来人口以青壮年为主的特点有关。2004年年住院率为7.1%,住院原因中75.0%为分娩。≥15岁的调查对象中,57.7%的调查对象没有任何医疗保障。定性研究中,医务人员访谈中提到外来人口卫生意识较差,应注重健康教育。结论今后在外来人口卫生工作中,要以传染病宣传、防治、孕产妇检查和分娩管理为重点。同时,将外来人口的管理纳入社区,进行同常住人口一样的社区化管理。

Objective The study was a branch of the general study on health service conditions, its aim was to know about the health service conditions and problems in migrant population. Methods The methods included data analysis, questionnaire survey and focus interview. Results The health service demand and utility of migrant population were very lower, except for the infection incidence and hospitalization rate which was 7. 1% , 75.0% of the hospitalized cases was giving birth. Among the investigated persons who were more than 15 years old, 57.7% of them had no any medical insurance. And they were short of health sense, Conclusion In the future, propaganda, prevention and treatment of infection diseases, and the physical examination for the pregnant or lying - in women should be focused on. The management of the migrant population should be the same as fixed residents in community.