桐乡市实施新型农村合作医疗前后农村居民住院服务利用比较研究

Analysis on the in-Patient Services Utilization Before and After Enforcing the New-Type Rural Cooperative Medical System in County-level City of Tongxiang

目的通过对新型农村合作医疗实施前后农村居民住院服务利用的影响研究,为进一步完善和发展新型农村合作医疗提供依据。方法采用分层整群随机抽样方法,在实施新型农村合作医疗前后分别对浙江省桐乡市农村居民进行入户访谈式问卷调查。结果与基线调查相比,追踪调查两周患病率从63.0‰提高到86.9‰,未住院率从11.70%下降到1.14%。结论新型农村合作医疗显著增加农村居民医疗服务需要,显著降低未住院率,在一定程度上增加了住院服务利用,是农村患者就诊的有力保障。

OBJECTIVE To analyze the effect of the new-type rural cooperative medical system on the use of the in-patient services utilization by rural residents so as to provide scientific basis for its improvement. METHODS Using the stratified cluster sampling method,house-to-house surveys on the residents of Tongxiang via interviews were conducted both before and after enforcing the new-type rural cooperative medical system. RESULTS After enforcing the new-type rural cooperative medical system,the rate of two-week seeking medical services and the proportion of in-patients were not increased,but the proportion of persons who are not in-patients descended from 11.70% to 1.14%. CONCLUSIONS The new-type rural cooperative medical system promotes the health services utilization by rural residents and decrease the rate of not in-patients significantly,which in turn increase the utilizations of in-patients services.The new-type rural cooperative medical system strongly guarantees rural patient’s access to medical care.