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对吉林省辽源、磐石、白山 3市推广实施妇幼保健保偿制的影响因素进行了回顾性流行病学调查。结果表明 ,调研地区平均入保率为 30 .1%。对定性资料及定量资料的单因素及多元逐步回归分析结果表明 ,孕产妇的了解妇幼保健保偿制的好处、孕产妇文化程度、居住地理环境、家庭年平均收入及既往总产次与推广实施妇幼保健保偿制具有相关性。据此 ,作者提出了全方位大力宣传保健保偿制 ,提高农民受教育层次及自我保健意识 ,大力发展农村经济 ,改变山区保健保偿服务模式 ,深入研究推广妇幼保健保偿制的实施对策等项干预措施。
A retrospective epidemiological investigation was carried out on the influential factors of popularizing and implementing MCHS in Liaoyuan, Panshi and Baishan, Jilin Province. The results showed that the average insurance coverage rate in the survey area was 30.1%. The qualitative and quantitative data by single factor and multiple stepwise regression analysis showed that the understanding of maternal and child health insurance benefits, maternal education, living environment, the average annual household income and past total output and promote the implementation of Maternal and child health insurance system is relevant. Accordingly, the author puts forward the measures of vigorously publicizing the health care insurance system, raising farmers’ education levels and awareness of self-care, vigorously developing the rural economy, changing the service mode of mountain health insurance and indemnifying the promotion of the MCH system Interventions.