江苏省农村贫困居民卫生服务现状与影响因素研究

Current situation of medical service and analysis on influencing factors for poverty rural residents in Jiangsu

采用多阶段随机抽样方法,对江苏省农村贫困居民卫生服务现状进行问卷调查,了解江苏省农村贫困居民卫生服务现状及影响因素,为政府进一步开展健康扶贫工作提供依据。结果显示,贫困居民两周患病率为21.9%,两周就诊率为18.0%,一年内住院率为17.8%;农村贫困居民卫生利用率较低,经济困难是主要原因;年龄、是否参加新农合、年人均收入、家庭外出人口数、是否因病负债和慢性病患病数量等是影响农村贫困居民卫生服务利用的主要因素。政府应通过落实卫生投入政策、提高贫困居民医疗保障水平、贯彻落实卫生服务惠民政策、提升基层医疗卫生服务能力等措施,进一步改善江苏省农村贫困居民卫生服务现状。

To learn about the current situation of medical service for poverty rural residents,and influencing factors were analyzed to provide the reference for carrying out health poverty alleviation work.The authors make questionnaire on the current situation of medical service with multistage random sampling and analyze the influencing factors.The two-week morbidity rate is 21.9%.The two-week treatment rate is 18.0%.The hospitalization rate is 17.8%.Financial difficulties are the main reason for the low utilization of health service in poverty rural residents.The influencing factors on their health service are ages,new rural cooperative medical system,annual per capita income,numbers of family outgoing population,liabilities due to illness,and numbers of chronic diseases.To improve the current situation of medical service for poverty rural residents in Jiangsu Province,the government should implement the health input policy,raising the level of medical security for poverty rural residents,the health policies benefiting the people should be adopted with the improvement of the service capability of primary medical institution.