论文部分内容阅读
通过调查2006年山东和宁夏两地的22636位农村居民的四周患病及卫生服务利用情况发现:四周内患病的居民,只有32.8%看过医生,年龄、职业及文化程度是影响就诊的因素。村卫生室是主要的就诊机构,选择的原因是离住所近;选择其他医疗机构的原因有服务质量好或有熟人;选择私立医疗机构的原因包括价格便宜。四周就诊的患病者个人自付的次均就诊费用为280.0元,占年人均纯收入及非食品性支出的7.7%和8.7%。患病但未采取任何治疗的患者中,15.9%是出于经济困难;9.2%的就诊患者被建议住院而未住院,其中,69.7%是因为经济困难。目前的新型农村合作医疗制度与医疗救助制度都没有解决农民看病贵、看病难的问题。
By investigating the prevalence and utilization of health services of 22,636 rural residents in Shandong and Ningxia in 2006, it was found that only 32.8% of the residents in the four weeks had seen the doctor, and the age, occupation and education level were the factors affecting the treatment . Village clinics are the main medical institutions, the reason for choosing is close to their place of residence; the reasons for choosing other medical institutions are good quality of service or acquaintances; and the reasons for choosing private medical institutions include low prices. The per-unit average visiting expenses of the patients who visited the hospital for the four weeks were 280.0 yuan, accounting for 7.7% and 8.7% of the annual per capita net income and non-food expenditures. Of the patients who were sick but did not receive any treatment, 15.9% were out of financial difficulty; 9.2% of the patients treated were hospitalized without hospitalization, of which 69.7% were due to financial hardship. The current new-type rural cooperative medical system and the medical aid system do not solve the problem of peasants seeking medical treatment and seeing a doctor hard.