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中国初级卫生保健:2019,33(1):11-13
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中文摘要: 目的 通过对江苏省不同医疗保险流动人口住院卫生服务差异分析,了解流动人口住院卫生服务利用现状,提出政策建议以改善流动人口卫生服务利用状况。方法 使用“2014年全国流动人口卫生计生动态监测调查”中江苏省的数据,采用描述性统计分析、卡方检验,对不同医疗保险流动人口住院卫生服务利用的差异进行分析。结果 不同基本医疗保险的流动人口的住院医疗机构选择上存在显著性差异(χ2=24.958,P =0.000);不同基本医疗保险的流动人口的住院医疗费用报销比例存在显著性差异(χ2=225.206,P =0.000);基本医疗保险类型分别对流动病人是否住院情况(P =0.003)和是否有应住院而未住院情况(P =0.014)的影响有统计学意义。结论 医疗保险类型影响流动人口的住院卫生服务利用情况,包括住院地点选择、住院医疗机构选择、住院医疗费用、住院医疗费用报销比例和应住院而未住院情况。
Abstract:OBJECTIVE By analyzing the difference of hospitalization service among floating population in different medical insurance in Jiangsu Province, this paper is to understand the current situation of the utilization of resident health service in the floating population, and to provide the basis for improving the health service utilization in different health insurance. METHODS Using descriptive statistic analysis, chi-square test, the paper analyzed the difference of hospitalization service utilization of floating population in different medical insurance in the data of Jiangsu Province in 2014. RESULTS The proportion of FPMIUE (floating population with medical insurance of urban employee ) to get hospitalization were higher than the proportion of other medical insurance (74.76%) and no medical insurance (67.57%), 15.19 and 22.38% (χ2= 24.958, P = 0.000). FPMIUE’s hospitalization expenses over 10 000 yuan is 15.34%, respectively, lower than in other medical insurance (16.19%) and no medical insurance (21.62%) of 0.85 and 6.28% of the floating population (χ2 = 10.000, P = 0.040). Different basic medical insurance of floating population proportion of hospitalization medical expenses exists significant difference2 (χ2= 225.206, P = 0.000). The type of basic medical insurance had statistical significance on whether the patients were hospitalized (p=0.003) and whether they were hospitalized (P =0.014). CONCLUSION Medical insurance types affect the hospitalization health service utilization of floating population, including site selection, choice of hospital medical institutions, hospital hospitalization medical expenses, hospitalization medical expenses proportion and should be in the hospital without hospitalization.
文章编号:3201901004     中图分类号:R197    文献标志码:
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