流动人口医疗卫生服务需求、供给、利用与健康促进策略选择——基于医疗服务利用行为模型视角

The choice of demand,supply,utilization and health promotion strategy of migrant population: A perspective of behavioral model of medical service utilization

从医疗卫生服务的需求、供给和利用三个方面出发,基于医疗服务利用行为模型,分析探讨了2015年北京流动人口健康及卫生服务利用情况。结果显示,流动人口慢性病患病率、患病频率相对较低;流动人口对公共卫生服务供给针对性、广泛性、有效性和总体评价较低;从服务的便捷性和多样性来看,公共卫生服务的供给还需要进一步完善;在医疗卫生服务的主动利用方面,没有参加任何医疗保险的受访者依然占较大比例,定期体检比例较低,在被动利用方面,无论是门诊还是住院服务利用都处于较低水平。家庭总收入、医疗保险在一定程度上影响了患者对医疗机构的选择。最终从供给侧与利用的角度提出相应健康促进策略。

With the continuous expansion of the domestic population flow,the medical and health services issues of migrant population are becoming more and more serious.Based on the three aspects of the demand,supply,and utilization of health services,this article explores and analyzes the utilization of health services for migrant population in Beijing in 2015 on the basis of behavioral models.The results showed that the prevalence of chronic diseases and the frequency of disease in migrant population are relatively low.The migrant population has low efficiency and overall evaluation of public health services.From the point of view of convenience and diversity of services,the supply of public health services needs to be further improved.In terms of the active utilization of medical and health services,the proportion of respondents who did not participate in any medical insurance still have a large proportion,while the proportion of regular physical examination was lower.In terms of passive utilization,both outpatient and in-patients service use are low.Family income and medical insurance have influenced patients choice of medical institutions to some extent.The health promotion strategy is proposed from the perspective of supply side and utilization.