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目的:探索城市贫困居民住院医疗救助利用的影响因素,促进医疗救助服务利用。方法:以6个城市1053户贫困居民入户调查数据为基础,综合运用卡方检验和非条件Logistical回归分析住院医疗救助利用的影响因素。结果:受访居民自述健康状况、月人均医疗支出、救助政策知晓程度、住院救助病种范围和住院救助起付标准等因素对住院医疗救助的利用具有显著性影响。结论:贫困居民对住院医疗救助的利用既受到医疗救助相关政策的直接限制,又受到医疗服务利用相关影响因素的影响。取消住院医疗救助病种范围限制和起付线,加强救助政策宣传将有助于贫困居民对住院医疗救助的利用。
Objective: To explore the influencing factors of hospitalization medical aid in urban poor residents and to promote the utilization of medical aid services. Methods: Based on the survey data of 10 053 poor households in 6 cities, the influential factors of inpatient medical assistance and utilization were analyzed by using chi-square test and non-conditional Logistic regression. Results: The residents’ self-reported health status, the monthly per capita medical expenditure, the awareness of rescue policies, the scope of hospitalization assistance and the standard of hospitalization relief have significant effects on the utilization of hospitalization medical assistance. Conclusion: The utilization of inpatient medical assistance by poor residents is not only directly restricted by the policies related to medical assistance, but also affected by the influencing factors of medical service utilization. The abolition of the scope of hospitalization of medical assistance disease limits and the starting line, strengthen the rescue policy advocacy will help impoverished residents on the use of inpatient medical assistance.