摘要
文章简述了两周门诊就诊Ｌｏｇｉｓｔｉｃ概率模型、门诊就诊费用Ｌｏｇｌｉｎｅａｒ模型、自我医疗条件概率模型和两周疾病痊愈概率模型。并对１９９３年国家卫生服务家庭健康询问调查资料，利用就诊概率模型和就诊费用对数线性模型进行分析。分析结果认为，经济收入和卫生服务可得性是影响农村居民就诊的最主要因素。农村居民门诊服务需求及利用差距，主要反映于不同人群就诊过程的资源消耗，不同人群自我医疗能力存在差异。建议要完善合作医疗保障制度，确定农村基本卫生服务内涵，建立特贫人群医疗救济制度，重视儿童、妇女、老年医疗保健，合理布局卫生机构。
The article briefly discusses the biweek outpatient visits logistic probability model, outpatient expenditure loglinear model, self care condition probability model and the biweek disease curability model. It also analyzes the household health questionaire data in the National Health Services Servey of 1993 by using the outpatient visits logistic probability model and outpatient expenditure loglinear model. The results show that household income and availability of health services are main factors affecting rural residents behavior of care seeking. The rural residents needs for and use of outpatient services are different. The differences are mainly reflected in resource consumption during clinical process and in selfcare ability of different population. It suggests to improve the cooperative health security system, to determine the basic table of rural health services, to establish a medical/poverty relief system for the poor population, to pay special attension to the health care for the elderly, women and children, and to have a rational distribution of health care institutions.
出处
《中华医院管理杂志》
北大核心
1998年第2期69-73,共5页
Chinese Journal of Hospital Administration
关键词
农村医疗机构
门诊
影响因素
农村地区
Residents, Rural Utilization, Outpatient Affecting factors
