2014-2017年湖北省流动人口健康保险和基本公共卫生服务覆盖情况分析

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Qin Chen, Qin Hu, Li Du, Shu Fang, Si Chen Zhou, Ting Sun, Bing Xiang Yang, Cong Yin, Pei Gang Wang, Yang Zhou, Jie Chen
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引用次数: 0

摘要

由于经济的快速发展和城市化,中国的流动人口显著增长。然而,这一人口在获得和利用保健服务方面面临重大障碍。确定影响流动人口保健服务覆盖面和可及性的因素对于指导有针对性的干预措施以改善总体人口健康至关重要。目的与目的本研究旨在探讨2014 - 2017年湖北省流动人口健康保险和公共卫生服务覆盖率的变化趋势及影响因素。方法对2014年、2015年、2016年和2017年湖北省流动人口动态监测调查数据进行趋势分析和回归分析。这些数据包括社会人口和经济特征以及健康保险覆盖率。作为基本公共卫生服务覆盖率的指标,测量了当地卫生保健记录机构和健康教育的可及性。结果2014 - 2017年,参保人数分别为89.01%、93.45%、88.49%和93.37%。同期,当地健康档案的建立率从2014年的45.36%上升到2016年的64.52%,2017年下降到36.90%。接受健康教育的比例分别为83.24%、90.95%、89.11%和64.11%。虽然在改善保健服务基础设施方面取得了进展,但其增长不稳定,缺乏可持续性。与本地健康记录覆盖率较高相关的因素包括流动时间长、个人家庭就业状况、长期居住意愿和医疗保险覆盖率。影响获得健康教育的因素每年都有所不同。结论流动人口集中地区应从优化医疗保险政策、调整医疗资源配置、加强社区卫生服务等方面入手,提高流动人口集中地区的卫生服务能力。这些措施有助于提高当地公共卫生服务的覆盖面和流动人口获得健康信息的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health Insurance and Basic Public Health Service Coverage Among the Floating Population in Hubei Province, 2014–2017

Rationale

China's floating population has grown significantly due to rapid economic development and urbanisation. However, this population faces substantial barriers to accessing and utilising health services. Identifying factors affecting health service coverage and access among the floating population is essential for guiding targeted interventions to improve overall population health.

Aims and Objectives

This study aims to explore the trends and socio-demographic factors influencing health insurance and public health service coverage among the floating population in Hubei Province from 2014 to 2017.

Methods

We performed a trend and regression analysis on data collected from 2014, 2015, 2016 and 2017 in Hubei Province from the China Migrant Population Dynamics Monitoring Survey. The data included socio-demographic and economic characteristics and health insurance coverage. Local health care record establishments and health education access were measured as indicators of basic public health service coverage.

Results

From 2014 to 2017, 89.01%, 93.45%, 88.49% and 93.37% of respondents, respectively, were covered by at least one type of basic health insurance. During the same period, the establishment of local health records increased from 45.36% in 2014 to 64.52% in 2016, before declining to 36.90% in 2017. Additionally, 83.24%, 90.95%, 89.11%, and 64.11% of respondents, respectively, received health education. While progress was made in improving health service infrastructure, its growth was inconsistent and lacked sustainability. Factors associated with higher local health record coverage included long floating time, individual household employment status, willingness for long-term residence, and medical insurance coverage. Factors influencing access to health education varied annually.

Conclusions

Efforts should be directed towards optimising health insurance policies, adjusting the allocation of medical resources, and strengthening community health services to enhance health care capacity in areas with a high concentration of floating populations. These measures can help improve local public health service coverage and health information access among the floating population.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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