北京市城乡居民口腔医疗服务利用与费用分析

Analysis on oral health care utilization and expenditure of residents in Beijing

目的 对北京市城乡居民口腔医疗服务利用和费用进行定量研究 ,为口腔医疗保障制度的制定提供依据。方法 采用分层、整群、随机抽样方法抽取城区人口 1 51 7人 ,农村人口 1 878人 ,利用入户调查方式进行口腔医疗服务利用和费用的调查。结果 城乡居民口腔疾病就诊率均处于较低水平 ,但次均费用较高。农村居民就诊率为城区居民的 1 / 3 ,次均费用约为城区居民的 1 / 2。农村居民口腔费用支出占年收入的 2 .0 7% ,城区居民为 1 .77%。不同人口、社会经济学背景的人群费用支出差异有显著性。结论 北京市居民的口腔医疗费用水平较高 ,在收入中占相当比重 ,并且农村居民的费用负担要重于城区居民。

Objective To analyze the dental care utilization and expenditure of residents in Beijing, and to provide some basis on the policy of oral health insurance system Methods A cross sectional survey was conducted among 1 517 subjects (urban area) and 1 878 subjects (rural area) of all age groups in Beijing selected by stratified, clustering, random sampling The data of oral health care utilization and expenditure were collected in their home Results The number of the people who visited a dentist in a year were low both in urban area and in rural area, but the expenditure for oral health care per visit were quite high The value of utilization of dental care in rural residents was 1/3 of that in urban residents, while the value of expenditure in rural people was about 1/2 of that in urban people 2 07% incomes of rural residents were used for dental care per year, the corresponding value of urban residents was 1 77% There was significant difference on the expenditure among those with different demographic, socio economic backgrounds Conclusions The expenditure for oral health care was high in Beijing, which accounted for quite a lot in average incomes per year The burden of expenditure for dental care on rural residents was heavier than that on urban residents The level of expenditure for dental care could provide some references for oral health insurance system in Beijing