家庭式流动人口基本医疗卫生服务利用的研究

发布时间：2018-08-27 17:22

【摘要】：背景:虽然我国经济迅速发展,但是由于贫富差距,经济增长和社会基础事业发展脱节等问题,不同群体的基本医疗卫生服务状况和医疗卫生利用水平存在显著差异,尤其是流动人口这个健康弱势群体。首先,流动人口数量剧增,2014年达到2.21亿人,占总人口数的18%。其次,流动模式发生改变,流动人口呈现携妻带子、携老扶幼的家庭式流动状态,2015年流动人口在流入地的家庭规模平均达2.61人。目的:通过对2014年全国流动人口监测数据,探究不同人口流动模式在基本医疗卫生服务利用状况上的差距,分析家庭式流动人口使用基本卫生医疗服务的影响因素。根据该群体医疗卫生服务需要和群体特殊性,提出能够提高家庭式流动人口基本医疗卫生服务水平的相关建议和解决措施。方法:一是对2014年全国流动人口监测数据进行定量分析,利用SPSS23.0,主要分析方法有统计描述、单因素分析和多因素分析(Logistic回归)等。二是对北京小红门肖村地区的流动人口进行半结构式访谈。结果:1、流动人口对基本医疗卫生服务的整体利用率低,但是家庭式流动人口比非家庭式流动人口的利用率高,家庭式流动人口建立健康档案的比例为25.9%,非家庭式的建档率为19.7%。2、家庭式流动人口有其自身的脆弱性和特殊性,由于家庭式流动人口中包括更多的老年人和孩子,所以他们对健康更加关注,对健康知识的需求更为迫切。一年内有4.8%的家庭式流动人口住过院,约是非家庭式流动人口的3倍。3、通过多因素logistic回归分析发现,结婚比未婚、流入时间越长,流动范围越小、受教育程度越高,有正规职业的对基本医疗卫生服务的利用率更高建议:1、以社区为单位针对性地对不同区域的家庭式流动人口进行帮扶2、做好社区基本医疗卫生服务的宣传和普及3、加强社区对家庭式流动人口的管理和服务4、加强健康教育,提高家庭自身发展能力
[Abstract]:Background: although China's economy is developing rapidly, due to the gap between the rich and the poor, the disconnection between economic growth and the development of social basic undertakings, there are significant differences in the basic medical and health services and the level of medical and health utilization among different groups. Especially the floating population as a healthy and vulnerable group. First, the number of floating population increased dramatically, reaching 221 million in 2014, accounting for 18 percent of the total population. Secondly, the floating pattern has changed, the floating population presents a band of carrying wives and family mobility with the elderly and the young. In 2015, the average family size of the floating population in the floating areas reached 2.61. Objective: to explore the differences in the utilization of basic medical and health services among different floating population patterns and analyze the influencing factors on the use of basic health care services in family floating population by analyzing the national floating population monitoring data in 2014. According to the need and particularity of the medical and health service of this group, the paper puts forward some relevant suggestions and solutions to improve the basic medical and health service level of the family floating population. Methods: firstly, quantitative analysis was carried out on the monitoring data of floating population in 2014. The main methods of SPSS23.0, analysis included statistical description, single factor analysis and multivariate analysis (Logistic regression). Second, a semi-structured interview on the floating population in Xiaohong Menxiao Village, Beijing. Results: 1. The overall utilization rate of basic medical and health services for the floating population is low, but the utilization rate of the family floating population is higher than that of the non-family floating population. The proportion of family floating population establishing health files is 25.9 and that of non-family migrants is 19.70.The family floating population has its own vulnerability and particularity, because more elderly people and children are included in the family floating population. So they pay more attention to health and the need for health knowledge is more urgent. Within one year, 4.8% of the family floating population lived in hospital, about three times as many as non-family floating population. Through multivariate logistic regression analysis, it was found that marriage is more than unmarried, the longer the inflow time, the smaller the mobility range and the higher the education level. A higher utilization rate of basic medical and health services for those with formal occupation recommendation No. 1: 1, take the community as a unit to help the family-type floating population in different regions, and do a good job in publicizing and popularizing basic medical and health services in the community (3) strengthen the management and service of the family floating population in the community 4, strengthen health education, Improving the ability of families to develop themselves
【学位授予单位】：首都经济贸易大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;C924.2

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