推行合作医疗中的农民健康教育问题

Peasant Health Education in Carrying out Cooperative Medical Service System

目的 了解农民对合作医疗的认识和健康投资意识 ,并研究其对参保意愿的影响 ,为开展农民健康教育提供依据。方法 系统抽样 ,对山西省 12 2 8户农民家庭进行调查 ,研究农民参保意愿及其影响因素。利用扩展线性支出系统分析农民基本生活消费及需求收入弹性 ,观察农民的健康投资意识。结果 5 6 9%的农民愿意参加合作医疗 ,其中只有 3 6 6%的人认识到了合作医疗的好处 ;户主文化程度及其对合作医疗的认识影响参保意愿 ;农民医疗保健的需求收入弹性为 0 12 92 ,不及全国城镇居民的 1/2。结论 农民健康投资意识较差 ,消费结构不合理。通过健康教育提高农民对合作医疗的认识 ,增强健康意识 ,改善消费结构 。

Objective To investigate the perceptions of cooperative medical system (CMS) and the consciousness of health investment among peasants, and the influencing factors of their willingness to join this system Methods An in-home interview was conducted among 1228 heads of peasant household in Fenyang City and Yicheng County, Shanxi Province, by systematic sampling Expended linear expenditure system was used to study their basic living consumption and needs income elasticity Results 56 9% of the respondents expressed their willingness to join the CMS, 36 6% among them realized the benefits of CMS The influencing factors included educational level and perception of CMS The needs income elasticity for health investment was 0 1292, less than half of that among urban residents Conclusion The Chinese peasants have a low consciousness of health investment and an irrational consumption structure It is necessary to raise their consciousness of health investment by health education so as to increase the rate of joining CMS