福建省流动人口健康档案建立现状及影响因素分析

Studying on the Establishment of Health Records for Migrant Population in Fujian Province and Its Influencing Factors

目的:把握福建省流动人口健康档案建立现状及其影响因素,为实现流动人口基本公共卫生服务均等化,促进和提高流动人口的健康水平提供参考依据。方法:基于全国流动人口动态监测中2018年福建省的调查数据,利用SPSS 25.0统计软件分析有关福建流动人口健康档案建立状况及其影响因素。结果:福建省9个地区市的6020名流动人口随机抽样样本中,建立健康档案者1228人,建档率为20.4%,未建立健康档案者和不清楚是否建档者分别为4022人(66.8%)和770人(12.8%)。健康档案无序多分类logistic回归分析结果显示:受教育程度低、年龄≥50岁、农业户口、家庭月总收入≤5000元、未签约家庭医生、调查点类型为村委会、跨省流动的男性流动人口是福建省地区中流动人口健康档案建设的薄弱人群,同时发现签约家庭医生对流动人口健康档案的推进有积极的促进作用。结论:福建省9个地区流动人口的健康档案建档率较低,亟待提高。性别、年龄、受教育程度、户口类型、家庭月总收入、是否签约家庭医生、调查点类型、流动范围与流动人口健康档案建立存在统计学上显著性关联。各级政府应重点关注与服务建档薄弱对象。同时还应在政策上加大推进家庭医生签约服务以提高健康档案建档率。

Objective To understand the status of health records establishment for migrant population in Fujian Province and its influencing factors,and provide a reference for realizing the equalization of basic public health services and improving the health level of migrant population.Methods Based on the survey data of the National Floating Population Dynamics Monitoring in Fujian Province in 2018,the establishment of health records and its influencing factors were analyzed by statistical software of SPSS 25.0.Results Of the 6020 surveyed migrant people,20.4% had established their health records,66.8% had no health records,and 12.8% were not sure whether having their health records being established.The results of multinomial logistic regression analysis showed that the rate of health records establishment was relatively low among the migrants with lower education,aged 50 years or above,agricultural household registration,total family monthly income≤5000 yuan,without contracted family doctor,village committee as investigation point,male migrants having inter-province migration.While the contracting family doctor played a positive role in establishing health records for the migrants.Conclusion The establishment of health records for migrant people in nine regions of Fujian Province was at a relatively low level,w hich needs to be improved.G ender,ag e,education level,household registration type,total monthly household incom e,whether to sign a family doctor,type of survey point,and floating range had significant correlation with the establishment of health records of migrants.It is suggested for the government to pay close attention to and serve the weak targets in the establishment of health records.And it is necessary to promote family doctors'contracting service for improving the filing rate of health records.