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目的:了解未参加劳务工医疗保险的劳务工卫生服务需求、利用水平以及影响因素和参保意愿。方法:采用整群随机抽样的方法,对深圳市2554名未参加劳务工医疗保险的劳务工卫生服务需求、利用等进行问卷调查。结果:①调查人口两周患病率为22.24%,不同年龄、文化程度和职业有着显著性差异;②两周患者就诊率34.35%,就诊单位主要是个体诊所(32.45%)和社康中心(23.40%);③两周患病未就诊率高(64.61%),主要原因是可及性差、疾病轻等;④74.16%愿意参保,但完全了解医保政策的仅为0.95%。结论:未参保劳务工卫生服务需求大,但利用水平较低;卫生服务可及性和疾病严重程度是影响利用的重要因素;劳务工参保意愿强烈,医保政策宣传有待进一步加强。
OBJECTIVE: To understand the demand, utilization level, influencing factors and willingness to participate in the health service for laborers not participating in labor insurance for labors. Methods: A cluster random sampling method was used to conduct a questionnaire survey on the demand and utilization of 2554 labor service workers who did not participate in labor insurance in Shenzhen. Results: ①The prevalence rate of two-week survey was 22.24%, with significant difference in age, education level and occupation; ② The two-week visiting rate was 34.35%; the visiting places were mainly individual clinics (32.45%) and community health centers 23.40%); ③The prevalence of non-visit in two weeks was high (64.61%), mainly due to poor accessibility and mild disease; ④74.16% were willing to insure, but only 0.95% were fully aware of the policy. Conclusion: The demand for unpaid labor service is high, but the level of utilization is low. The availability of health services and the seriousness of disease are the important factors affecting the utilization of labor services. The labor service workers’ willingness to take part in insurance is strong and the publicity of health insurance policy needs to be further strengthened.