成都市中低收入群体医疗服务需求的调查分析

Analysis on medical service demand of mid-and-low income group in Chengdu City

目的:调查成都地区中低收入群体的医疗服务需求,了解该人群的诊疗行为特点。方法:对成都市的中低收入群体进行了问卷调查和访谈。结论:中低收入群体慢性病患病率较高,因病就医选择连锁药店和三级医院较多,选择国产西药和中成药较多,医疗保险报销水平较低,医疗费用负担重。建议:控制医疗费用,加强医疗保障体系建设,重视慢性病防治,加强社区卫生服务中心的建设。

Objectives： In order to investigate the mid-and-low income group＇s medical service demand, and understand the characteristics of those groups＇ healthcare-seeking behavior. Methods ： Household questionnaire survey and interviews for mid-and-low income group was used. Conclusions： The chronic morbidity for those groups are rela- tively high, and chain pharmacies and tertiary hospitals are the priority selections for those group. In addition, the main drugs selections are domestic Western and Chinese herbal medicine. But the reimbursement rate for illness is quite low making a heaven financial burden for those groups. Recommendations： More efforts should be made to strengthen the medical insurance scheme to control the medical expenditure, and more attention should be focused on chronic disease prevention and control. In addition, more community health centers should be constructed to provide primary healthcare.