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目的探讨下岗职工家庭就诊医疗机构的选择意向和影响因素。方法应用整群随机抽样的方法对5市941户下岗家庭(3050人)进行入户询问调查。结果下岗职工家庭成员经常就诊和2周患病就诊的前3位的医疗机构是社区卫生服务机构、市级医院和私人诊所。下岗职工家庭成员中以25~35岁年龄段人群、人均月收入低于400元的家庭、医疗保障以自费形式的家庭、门诊费用以自费形式的家庭、家庭距社区卫生服务机构1km以内的家庭社区卫生服务的利用率最高。结论(1)社区卫生服务是下岗职工家庭健康保障的有效途径;(2)社区卫生服务是下岗职工家庭实施医疗救助的最好平台。
Objective To explore the selection intention and influencing factors of medical institutions for laid-off workers. Methods A total of 941 laid-off families (3050) in 5 cities were investigated by cluster sampling method. Results The top 3 medical institutions where the family members of the laid-off workers often attend and 2 weeks of illness visits are community health service agencies, municipal hospitals, and private clinics. Among the family members of laid-off workers, households with a 25-35 year-old age group, a per capita monthly income of less than 400 yuan, medical insurance at their own expense, family, outpatient expenses at their own expense, families within 1 km from the family health service agency Community health services have the highest utilization rate. Conclusions (1) Community health service is an effective way to protect family health of laid-off workers; (2) Community health service is the best platform for laid-off workers to implement medical assistance.