论文部分内容阅读
目的通过调查流动人口患病后自行处置情况并分析其影响因素,为政府制定基层卫生服务政策提供参考依据。方法采用多阶段抽样方法,抽取广州市番禺区石楼镇企业在广州居住满半年以上的非广州市户口员工1 324名。应用不记名问卷进行调查,了解流动人口患病后自行处置的情况及心理。结果该流动人口群体中患病后自行找药吃、到私人诊所就医、求助社区卫生服务中心、大病到医院和小病到药房、到综合大医院、先忍上一段时间看能不能缓解的比例分别为24.2%、17.6%、12.8%、50.8%,15.0%以及17.1%。Logistic回归分析表明,女性、文化程度低的人患病后趋向于更积极求医。单身、月收入越高、就诊前担心金钱花费大、就诊前担心医务人员服务态度差的患者更易自行解决。结论各地政府在制定基层卫生服务包括妇女保健服务利用政策时,要考虑到流动人口的特殊性,探索更为廉价有效的医疗模式,对流动人口健康有重要的意义。
Objective To investigate the self-disposal of illiterate population and to analyze its influencing factors so as to provide reference for the government to formulate the policy of grassroots health service. Methods A multistage sampling method was used to collect 1 324 non-Guangzhou permanent residents who lived in Guangzhou for more than half a year in Shilou Town, Panyu District, Guangzhou City. The application of anonymous questionnaire survey to understand the situation of displaced persons after treatment and psychological illness. The results of the floating population groups to find their own medicine after illness, to private clinics, community health centers, illness to the hospital and minor illness to the pharmacy, to a large hospital, put up for some time to see can not alleviate the proportion Respectively 24.2%, 17.6%, 12.8%, 50.8%, 15.0% and 17.1%. Logistic regression analysis showed that women and people with a low level of education tended to be more active seeking medical care after their illness. Single, the higher the monthly income, worry about the money before the visit to spend large, medical services before the doctor worried about poor service attitude of patients easier to solve. Conclusions When formulating policies on the utilization of primary health services, including women’s health services, local governments should take into account the particularities of floating population and explore cheaper and more effective medical models, which are of great significance to the health of floating population.