摘要
目的:了解上海市长宁区外来人口卫生服务现状、主要困难及问题,为上海市制定卫生规划提供客观依据。方法:采用问卷调查的定量研究和小组访谈的定性研究方法。结果:长宁区外来人口年龄以中青年为主,医疗服务的需求与利用水平都较低,两周患病率(78.00‰)、两周就诊率(52.90%)、2004年年住院率(2.50%)、慢性病患病率(6.90%)均大大低于全国城市平均水平,77.70%的外来人口没有任何医疗保障。另外,医务人员访谈中提到外来人口卫生意识较差、流动性大以及政府的支持力度不够等,给外来人口卫生服务的提供带来一定的困难。建议:在对外来人口的卫生工作中,迫切需要政府的政策、财力支持以及政府对各部门工作的协调。
Purpose the aim is to find out the current health service provided for floating population in Shanghai as well as the major difficulties and problems during the process of provision in Changning District, Shanghai, which may offer some objective reference for the municipal government to make the 11th five-year heath plan. Methods quantitative research based an a questionnaire survey and quality research based on focus group interview results this group of people, mainly consisting of the young and middle aged, has little health care demands and low-level use of health service. The two weeks prevalence （78.00‰） , the percentage of patients with physician contact within two weeks （52.90%） , the percentage of persons with hospital admission within twelve months （2.05%） and the chronic illness prevalence （6.90%） are all much lower than the average figures in urban areas. 77.70% of this population has no medical insurance program at all. Meanwhile, the results of focus group interview with medical staff revealed such problems as lack of health awareness, floating nature of this group and insufficient government support etc, which has added difficulties to the provision of health service, proposals： It is urgently needed that the government provides policy, financial support and acts as a coordinator between different functional departments to improve the health service work.
出处
《中国卫生经济》
2006年第2期55-58,共4页
Chinese Health Economics
关键词
外来人口
卫生服务
医疗保险
non-registered permanent residents, health service, medical insurance
