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目的为提高低收入人群健康状况及卫生服务利用率、优化贫困人群医疗保障制度提供科学依据。方法选择EQ-5D和EQ-VAS得分对健康进行评价;用卡方检验、方差分析等方法对样本人群的健康状况及卫生服务需要进行检验和评价。结果随收入增长,两周患病率和慢性病患病率、应住院未住院比逐渐降低,两周患者就诊率逐渐升高;不同收入组两周患病率、慢性病患病率、EQ-VAS健康得分、EQ-5D各个维度发生问题的比例、两周患者就诊率、应住院未住院率、因经济困难未住院率差异均有统计学意义。结论低收入人群健康状况差,卫生服务需求高;低收入人群卫生服务利用率低,降低了我国卫生公平目标的实现程度。
Objectives To provide a scientific basis for improving the health status of low-income people and utilization of health services, and optimizing the medical security system for the poor. Methods EQ-5D and EQ-VAS scores were used to evaluate the health status. The health status and health service needs of the sample population were tested and evaluated by chi-square test and analysis of variance. Results With the increase of income, the prevalence of two weeks and the prevalence of chronic diseases, the hospital uninhabited ratio decreased gradually, and the attendance rate increased gradually in two weeks. The prevalence of two weeks and the prevalence of chronic diseases in different income groups, EQ-VAS Health scores, EQ-5D dimensions in all dimensions of the problem rate, two weeks of patient visits, should be hospitalized unincorporated rate, due to economic difficulties, unacceptable rates were statistically significant. Conclusions The health status of low-income population is poor and the demand for health care services is high. The utilization rate of low-income people’s health services is low, which reduces the realization of the goal of health equity in our country.