深圳市宝安区参保、未参保劳务工卫生服务需要与利用的比较分析

Comparison Analysis of Health Care Need and Utilization Between Workers Joining and Not-joining the Insurance

目的通过对参保和未参保劳务工卫生服务需要及利用的比较分析,了解劳务工合作医疗制度的实施现状,为进一步推进劳务工合作医疗制度的发展提供参考依据。方法采用分阶段随机抽样对深圳市宝安区2000名劳务工进行问卷调查。结果与未参保劳务工相比,参保劳务工的两周患病率高(P<0.05),慢性病患病率低(P<0.05),两周未就诊率低(P<0.05),在住院服务利用上两者没有显著性差异(P>0.05)。结论深圳市宝安区劳务工合作医疗制度总体开展良好,提高了劳务工对门诊服务的利用,但住院服务利用率仍偏低。

OBJECTIVE To get a general idea of the implementation of the cooperative insurance and provide reference to the development of medical insurance for influx population. METHODS To adopt the method of stratified method of stratified random sampling, choose 2 000 labor workers randomly in Bao＇an District of Shenzhen and carry out a questionnaire survey to them. RESULT Compared with the workers not-joining the insurance. The two-week mobidity of the workers joining the insurance is higher, with P〈0.05. The mobidity rate of chronic disease is lower, with P〈0.05. The two-week visit rate is higher, with P〈0.05. The two-week not-visit rate is lower, with P〈0.05. There are not statistically significance between workers joining and not-joining the insurance concerning the inpa- tient utilization （P〉0.05） .CONCLUSIONS The development of the cooperative medical insurance is not bad, enhancement of clinical health care utilization is obvious, but the innatient utilization is still low.