摘要
该文通过对黑龙江省大庆市就“医改”的实施对不同就业人群的卫生服务需求利用所产生的影响进行分析 ,认为 (1 )“医改”的实施杜绝了职工将门诊看病转向挂床住院 ,使得大庆市“医改”实施后参保职工门诊就诊率比实施前增加较多 ;参保职工住院率明显降低 ;(2 )大庆市“医改”实施后 ,职工患病未住院率明显下降 ,同时 ,限制了以往的住院利用过度情况。“医改”实施后 ,经济困难仍然是影响参保职工有病未住院的一个主要原因。“医改”的实施只在一定程度上缓解了参保职工因经济原因而导致的提前出院 ;(3 )医疗费用的负担方式在患者就医时对卫生服务机构的选择起了重要作用 ,由原来的大中型医院较为集中而转向定点医院 ;(4 )影响参保职工卫生服务利用的因素均与参保职工的年龄 (高龄人口对住院的利用增加 ,离退休人员对服务的利用显著高于其他人群 )和现在享受的医保形式 (“参保人群”、“未参保人群”、“补充医疗保险人群”)有关 ,而目前的医保形式又与职工的单位性质、就业状况及“医改”
An investigation on the influences of reform for health insurance system on health service utilization of different groups in DaQing city of Hei Longjiang province, which is one of the expanded experimental cities. (1) Before 'health reform' a part of employees turned to inpatient from outpatient by the restaint of reimbursement system. After reform the rate of outpatient of 'insured groups' increased largely than before by prohibiting actions above and proscribing the illegal presctibes; the rate of inpatient decreased dramatically. (2) After reform the rate of inpatient decreased obviously. One of the important problems is that we cannot avoid in our future work how to ensure the workers, who is out of inpatient because they cannot afford, to obtain the basic medical service. (3) Many factors could influence the selection of health service of which the payment system of medical expenditure were important. 'Health reform' had deeply impacted on the health service of the utilization of different employing groups.
出处
《中国卫生资源》
2002年第6期275-277,共3页
Chinese Health Resources
基金
中国卫生经济培训与研究网络经费支持
关键词
城镇职工
医疗保障制度
改革
就业人群
卫生服务利用
The reform for health insurance system Employee groups Health service utilization
