| 引用本文：龚勋,乐虹,鲲鹏,等.四川省雅安市雨城区地震灾后居民医疗服务需求与利用分析[J].中国卫生政策研究,2009,2(5):5-10 |
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| 四川省雅安市雨城区地震灾后居民医疗服务需求与利用分析 |
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| 1.华中科技大学同济医学院医药卫生管理学院;2.四川省雅安市雨城区民政局 |
| 摘要:目的：分析居民的经济情况及健康状况，分析地震对居民造成的影响，评估后续医疗服务需求，为制定医疗救助政策提供政策建议。方法：采用问卷调查的方法，对雅安市雨城区437户家庭的1631名居民的医疗服务需求与利用情况进行调查。结果和结论：不同性别、年龄、文化程度、经济收入的灾区居民两周患病率均存在不同程度的统计学差异；灾区居民对医疗卫生服务的利用有限，经济因素是一个重要因素。建议 加强对灾区居民的心理干预和健康教育；加大政策衔接力度，扩大医疗保障覆盖范围；注重医疗救助同其他救助工作的协调，提高救助体系系统效率。 |
| 关键词:医疗服务需求 医疗服务利用 灾后医疗救助 |
| 基金项目:中国卫生政策支持项目(HPSP) |
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| Analysis of the residents demand and utilization of post earthquake disaster medical service in Yucheng district of Yaan city Sichuan province |
| GONG Xun1, LE Hong1, KUN Peng1, WANG Zheng1, LV Hui1, YI Chun-li2, CHEN Man-li1, GU Tian3, YAO Lan1 |
| 1.School of Medical and Health Management, Tongji Medical College;2.School of Medical and Health Management, Tongji Medical School of Medical and Health Management, Tongji Medical College;3.Bureau Civil Affairs of Yucheng District of Ya'an City Sichuan Provine, |
| Abstract:Objectives：This article is to analyze the residents economic situation, health status, and the seismic impact, to assess the follow up demand for medical service, and to provide policy recommendations for making medical assistance policies. Methods： A questionnaire survey was conducted on 1 631 residents of 437 families in Yucheng district of Yaan city about their demands and utilization of medical service. Results and conclusions： As regards to the two week prevalence rate, there are more or less statistical differences in sex, age, education, and income level among the disaster area residents. This article finds that the disaster area residents utilization of health service is so limited and the economic factor is an important factor. Suggestions: It is possible to strengthen the psychological intervention and health education to the disaster area residents, to increase the policy convergence and expand health insurance coverage, to focus on the coordination of medical assistance and other assistance work, and to improve the efficiency of the assistance system. |
| Key words:Demand of medical service, Utilization of medical service, Post earthquake medical assistance |
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