摘要
目的分析慢性病患者医疗服务利用影响因素及其变化。方法基于中国健康和营养调查2006年和2009年的数据,利用二元logistic回归分析构建医疗服务利用概率模型。结果年龄、学历、职业、收入、医疗保险、户籍、地区和保健服务利用是影响慢性病患者医疗服务利用的主要因素;年龄、职业和户籍的影响在增强,而学历、收入、医疗保险、地区和保健服务利用的影响在减弱。结论慢性病患者医疗服务利用受诸多因素影响,且不断发生变化;政府应继续完善医疗保险制度,缩小地区差距和城乡差距,加强健康知识教育,鼓励保健服务利用,以达到控制慢性病患者病情和有效减少长期医疗服务利用及费用的目标。
OBJECTIVE To identify the determinants of health service utilization and their changes for patients with chronic diseases. METHODS Based on data from China Health and Nutrition Survey, binary ]ogit model were used to construct probability models of medical service and preventive service utilization. RESULTS Age, education, occupation, income, health insurance, household registration, region and preventive service utilization were major factors influencing health service utilization for patients with chronic diseases. The effects of age, occupation and household registration on medical service utilization were increasing while the effects of education, income, health insurance, region and preventive service utilization were decreasing. CONCLUSION Medical service utilization is influenced by many factors for patients with chronic diseases, and changing constantly. The government should continue to improve medical insurance system, narrow regional and urban-rural gaps, strengthen health education and encourage preventive service utilization to achieve objectives of controlling disease condition and reducing long-term health service utilization and expenditure.
出处
《中国初级卫生保健》
2013年第8期83-85,共3页
Chinese Primary Health Care
