| 引用本文：卢小君, 张宁.农业转移人口住院就医行为选择的影响因素研究[J].中国卫生政策研究,2018,11(2):10-16 |
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| 农业转移人口住院就医行为选择的影响因素研究 |
| 投稿时间：2017-06-29 修订日期：2017-11-11 PDF全文浏览 HTML全文浏览 |
| 卢小君, 张宁 |
| 大连理工大学人文与社会科学学部 辽宁大连 116024 |
| 摘要:利用2014年全国流动人口动态监测调查数据，对6 168名有住院就医需求的农业转移人口进行分析，了解其住院就医行为选择的影响因素。研究发现，85.7%的农业转移人口在有住院需求时会选择住院。在选择住院的人中，70.6%的人会在流入地住院，55.8%的人会在县区级及以下医院住院。农业转移人口的性别、年龄、婚姻状况、受教育程度、经济地位、流动特征、住院原因、是否接受健康教育和建立健康档案对其住院就医行为选择产生不同的影响。医疗保险对于是否住院和住院地点选择产生影响，但是对于医院级别选择未起到分流作用。 |
| 关键词:农业转移人口 住院就医行为 分级诊疗 医疗保险 |
| 基金项目:国家社会科学基金项目（17BGL169） |
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| Study on influencing factors of the choice of hospitalization behaviors among agricultural transfer population |
| LU Xiao-jun, ZHANG Ning |
| School of Humanities and Social Sciences, Dalian University of Technology, Dalian Liaoning 116024, China |
| Abstract:The choice of hospitalization behaviors among agricultural transfer population plays an important role in promoting the system of hierarchical diagnosis and treatment. The data of 2014 National Floating Population Dynamic Monitoring Survey was used to study the influencing factors of the choice of hospitalization behaviors among 6168 agricultural transfer population who needed hospitalization and find out the influencing factors of their hospitalization choice. The results of this study show that 85.7% of agricultural transfer population chooses hospitalization when there is hospitalization demand. Among the people who choose to be hospitalized, 70.6% of agricultural transfer population chooses to be in the local hospital, and 55.8% of the agricultural transfer population chooses to be hospitalized at the county level and below. Gender, age, marital status, education level, economic status, mobility characteristics, reasons for hospitalization, health education and health records have different effects on agricultural transfer population's choices of hospitalization behaviors. Health insurance has an impact on the choice of hospital and hospital location, but doesn't play a guiding role in hospital level selection. |
| Key words:Agricultural transfer population Hospitalization behaviors Tiered medical services system Medical insurance |
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