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目的:了解农村贫困家庭所处的健康风险分担网络的结构与功能,以期为政府优化健康风险管理提供依据。方法:选取贵州省贵定县某村庄40户家庭作为样本,采用整体社会网络分析方法对其进行问卷调查,并用Ucinet6软件对数据进行分析处理。结果:将健康风险分担网络分为经济、情感和信息支持3个维度,被调查地的情感支持网络结构完整,经济支持网络的整体结构松散,联系紧密而又高效的信息支持网络结构在本次调研中并未出现。结论:以较完整的情感支持网络为基础,以在网络内传播有效的信息为手段,是政府利用社会网络进行健康风险管理的策略选择,最终农村贫困家庭的健康风险化解的主要途径仍然要依靠政府加快建立和完善正式的保障制度,非正式的健康风险分担机制作为补充,形成一个综合的健康风险管理体系。
OBJECTIVE: To understand the structure and function of health risk sharing network in poor rural families in order to provide the basis for the government to optimize health risk management. Methods: Forty households in a certain village of Guiding County, Guizhou Province were selected as samples. The questionnaires were investigated by the method of overall social network analysis, and the data were analyzed by Ucinet6 software. Results: The health risk sharing network is divided into three dimensions: economic, emotional and information support. The emotional support network in the surveyed area is complete, the overall structure of the economic support network is loose, and the close and effective information support network structure is close. Research did not appear. Conclusion: Based on a more complete emotional support network and dissemination of effective information within the network, it is a strategic choice for the government to use the social network to carry out health risk management. Ultimately, the main ways to resolve the health risks of rural poor families still depend on The government should speed up the establishment and improvement of an official guarantee system and supplement the informal health risk sharing mechanism to form an integrated health risk management system.