北京市外来务工人员医疗服务需求及利用调查

Research on the Demand and Utilization of the Health Service of Migrate Workers in Beijing

目的:了解北京市外来务工人员医疗服务需求、利用现状及影响因素。方法:采用多阶段分层整群抽样方法选取北京市外来务工人员比较集中的7个区县作为调查地点进行问卷调查,采用构成比、χ2检验和Logistic回归对数据进行分析。结果:被调查的在京外来务工人员两周患病率(13.9%)、两周就诊率(7.1%)和年住院率(4.9%)较低,两周应就诊未就诊率(48.9%)和年应住院未住院率(35.5%)较高。平均每天累计工作时间、有无医保和自评总体健康状况(P均﹤0.01)是影响在京外来务工人员医疗服务利用的主要因素。结论:制约外来务工人员医疗服务利用的主要障碍可以归纳为制度、卫生服务体系、经济社会和个人因素4个方面。

Objective：To investigate the influencing factors of the migrate workers＇ demand for health service and utilization, and put forth policy suggestion. Methods：The multistage stratified was taken to survey on the floating population from seven district where most dense popula- tion of floating people live there in Beijing. Among them a questionnaire survey was conducted and the collection data were analyzed by Percent- age, Chi -square and Logistic regression analysis. Results：Two -week morbidity rate （13.9%）, visiting rate （7.1% ） and hospitalization rate per year （4.9%） of those subjects were lower. Non - visiting rate （48.9%） and non - hospitalization rate per year （ 35.5% ） were higher. Total working hours per day, insurance and self - rated health （ p 〈 0.01 ） were the main factors that affect the utilization of health service. Conclu- sion：The main obstacles in health services utilization of migrate workers can be summarized as institution, health care system, economic, social and personal.