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目的:构建财富指数,用财富指数衡量家庭经济水平,分析不同经济水平居民卫生服务利用现状以及存在的问题。方法:采用多阶段分层随机整群抽样方法抽取农村和城镇样本家庭,收集样本家庭财产、收入和支出情况以及家庭成员卫生服务需要、需求和利用的相关数据,采用因子分析方法构建家庭财富指数。结果:城镇家庭财富指数与家庭年收入、家庭年支出的相关系数分别是0.538、0.511。农村家庭财富指数与农村家庭年收入、家庭年支出的相关系数分别为0.596、0.483。经济状况不佳影响居民门诊和住院服务利用。结论:以家庭耐用消费品作为家庭财产构建财富指数代表家庭的经济水平其稳定性更强,数据也更容易收集。通过提高收入、完善基本医疗保障制度、发展基层医疗机构等多项措施,改善和提高低收入居民卫生服务利用状况。
Objective: To construct the wealth index, measure the family economic level by using the wealth index, and analyze the status quo and existing problems of residents’ health service utilization in different economic levels. Methods: A multi-stage stratified random cluster sampling method was used to sample rural and urban sample households to collect sample family property, income and expenditure, and data on health service needs, needs and utilization of family members. The factor analysis method was used to construct a family wealth index . Results: The correlation coefficients between urban household wealth index and family annual income and family annual expenditure were 0.538 and 0.511 respectively. The correlation coefficient between rural household wealth index and rural household annual income and household annual expenditure is 0.596,0.483. Bad economic conditions affect residents’ outpatient and inpatient services. CONCLUSIONS: Constructing a family of consumer durable goods as a household property represents a more stable economy and represents easier data collection on behalf of households. We will improve and improve the utilization of health services by low-income residents through various measures such as raising incomes, improving the basic medical insurance system, and developing grassroots medical institutions.