新型农村合作医疗对江西省农村地区住院服务利用的影响

发布时间：2018-03-17 03:03

本文选题：住院服务　切入点：动态变化　出处：《中国医科大学学报》2014年08期 　论文类型：期刊论文

【摘要】：目的研究新型农村合作医疗(新农合)对江西省农村地区住院服务利用影响的纵向变化,从住院服务角度评价新农合的实施效果。方法采用多阶段分层随机抽样方法抽取研究对象,进行5次入户调查。利用住院率、提前出院率及应住院未住院率等指标分析住院服务利用的动态变化及新农合对其的影响。结果 5次调查结果显示住院率呈上升趋势;提前出院率与应住院未住院率呈下降趋势,3个指标线性趋势检验差异均有统计学意义(P0.05)。Logistic回归分析结果提示:排除其他因素之后,调查年份对增加住院率、减少应住院未住院率有显著影响(P0.01)。人均筹资金额与住院率呈正相关关系,人均筹资金额与应住院未住院率呈负相关关系(P0.05)。提前出院和应住院未住院患者中因经济困难所占比例呈显著下降趋势(P0.05)。结论新农合显著提高了住院服务利用率,但是仍有上升空间。经济因素仍为主要制约因素,但对农民看病的制约能力已大大减弱。
[Abstract]:Objective to study the longitudinal changes of the effects of the new rural cooperative medical system (NCMS) on the utilization of hospitalization services in rural areas of Jiangxi Province. Methods Multi-stage stratified random sampling method was used to select the research objects and carry out 5 household surveys. The dynamic changes of hospitalization service utilization and the influence of NCMS on the early discharge rate and the unhospitalized rate were analyzed. Results the results showed that the hospitalization rate showed an upward trend. The rate of early discharge and the rate of unhospitalized should be decreased. The difference of linear trend test of three indexes was statistically significant (P 0.05). Logistic regression analysis showed that: after excluding other factors, the year of investigation increased the rate of hospitalization. The decrease of the rate of hospitalization has a significant effect on the rate of hospitalization. The amount of funds raised per capita is positively correlated with the rate of hospitalization. There was a negative correlation between the amount of capital raised per capita and the rate of hospitalization (P 0.05). There was a significant decrease in the proportion of patients with economic difficulties in early discharge and non-hospitalized patients. Conclusion the utilization rate of hospital services was significantly increased by NCMS. However, there is still room for improvement. Economic factors are still the main constraints, but the ability to see a doctor for farmers has been greatly weakened.
【作者单位】：南昌大学公共卫生学院卫生统计学教研室;
【基金】：国家自然科学基金(70763007)
【分类号】：R197.1;F323.89;F842.684

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