论文部分内容阅读
目的了解腹泻病调查地区人群医疗保险模式以及对就诊意愿、行为的影响。方法在腹泻病入户调查地区对部分健康人进行基本情况、有无医疗保险、模式以及就诊意愿和行为的调查。结果医疗保险模式城镇和农村人群分别以不享受任何医疗保险(44.72%)和农村合作医疗为多(53.21%);农民和公务人员分别以农村合作医疗为主(56.10%)和以公费医疗(59.50%)为主,其余职业人群均以不享受任何医疗保险的比例为高;调查人群认为患病后自己买药治疗、不必治疗和到医院就诊的分别占76.73%、8.45%和38.82%;患病后认为自己买药治疗和不必治疗的以不享受医疗保险人群为多,愿到医院就诊则以公费医疗保险者为高;腹泻病例就诊率以不享受任何医疗保险人群(36.41%)和农村合作医疗保险(24.18%)为高。结论农民、社区居民等不享受医疗保险弱势群体对于腹泻病等常见病的就诊意识不强,但就诊需求高。须提高农民、社区居民的医疗保险参保意识,将常见病纳入保障范围,加强基层医疗服务体系的建设,提高就诊意识。
Objective To understand the patterns of medical insurance for diarrheal diseases and their impact on the willingness and behavior of visiting doctors. Methods In the area of household survey of diarrheal diseases, some basic conditions of the healthy people were investigated, with or without medical insurance, models and the willingness and behavior to visit. Results The medical insurance model did not enjoy any medical insurance (44.72%) and rural cooperative medical care (53.21%) for the urban and rural population respectively. Farmers and civil servants were mainly rural cooperative medical (56.10%) and public medical ( 59.50%). The other occupational groups did not enjoy any medical insurance as a proportion of high; surveyed the people think they buy medicine after illness, without treatment and to the hospital for treatment accounted for 76.73%, 8.45% and 38.82% respectively; After the illness that they buy medicine and do not have to treat the medical insurance are not as much crowd, willing to go to hospital for public health insurance is high; diarrhea cases visit rates do not enjoy any medical insurance population (36.41%) and Rural cooperative medical insurance (24.18%) is high. Conclusion Farmers, community residents and other disadvantaged groups who do not enjoy the medical insurance are not aware of the treatment of common diseases such as diarrhea, but the demand for treatment is high. It is necessary to raise the awareness of peasants and community residents in the coverage of medical insurance and to include common diseases in the scope of protection so as to strengthen the construction of primary health care service system and raise the awareness of visiting doctors.