【摘要】：上海，作為一個國際化大都市，自20世紀(jì)90年代我國開始實行社區(qū)衛(wèi)生服務(wù)試點以來，社區(qū)衛(wèi)生服務(wù)的發(fā)展就一直走在全國的前列。但是相對于戶籍人口，對社區(qū)衛(wèi)生服務(wù)需求較大的上海市外來流動人口在其供給與利用上卻一直處于弱勢地位，為外來流動人口提供基本的衛(wèi)生醫(yī)療服務(wù)和健康保障一直困難重重，這不僅不利于社區(qū)衛(wèi)生服務(wù)的深入發(fā)展，也不利于外來流動人口健康水平的提高。本文通過研究為外來流動人口提供社區(qū)衛(wèi)生服務(wù)的供方、需方的現(xiàn)狀和問題，并結(jié)合外部環(huán)境對社區(qū)衛(wèi)生服務(wù)的影響，提出適合于上海市外來流動人口特點的社區(qū)衛(wèi)生服務(wù)發(fā)展策略，從而提高上海市外來流動人口社區(qū)衛(wèi)生服務(wù)供給與利用水平。 在研究方法上結(jié)合社會學(xué)、統(tǒng)計學(xué)、人口學(xué)、經(jīng)濟學(xué)等諸多學(xué)科知識，將理論研究與實證分析、定性分析與定量分析相結(jié)合，通過文獻資料分析、調(diào)查問卷研究等調(diào)查方法，，并運用結(jié)構(gòu)方程模型從需方角度對社區(qū)衛(wèi)生服務(wù)的需求及利用進行滿意度分析。分別討論分析為外來流動人口提供社區(qū)衛(wèi)生服務(wù)的供方、需方及外部環(huán)境的基本情況，綜合多方面因素，提出適合于外來流動人口的社區(qū)衛(wèi)生服務(wù)發(fā)展策略，從而提高上海市社區(qū)衛(wèi)生服務(wù)發(fā)展水平，也為國內(nèi)其他城市開展外來流動人口社區(qū)衛(wèi)生服務(wù)提供參考與借鑒。主要研究內(nèi)容如下： （1）通過查閱文獻、資料，分析社區(qū)衛(wèi)生服務(wù)的發(fā)展歷史及基本現(xiàn)狀，包括機構(gòu)設(shè)置、服務(wù)內(nèi)容、運行機制等，找出目前存在的問題。 （2）分析上海市社區(qū)衛(wèi)生服務(wù)運行現(xiàn)狀，特別是社區(qū)衛(wèi)生服務(wù)中心的管理體制和運行機制，找出制約外來流動人口社區(qū)衛(wèi)生服務(wù)發(fā)展的關(guān)鍵因素及供方在開展外來流動人口社區(qū)衛(wèi)生服務(wù)過程中存在的主要問題。 （3）利用結(jié)構(gòu)方程模型對外來流動人口社區(qū)衛(wèi)生服務(wù)需求及利用進行滿意度分析，從而找出外來流動人口社區(qū)衛(wèi)生服務(wù)的潛變量之間的關(guān)系，即外來流動人口社區(qū)衛(wèi)生服務(wù)各項影響因素與滿意度之間的關(guān)系及其影響因素。
[Abstract]:Shanghai, as an international metropolis, has been in the forefront of the development of community health service since China began to implement the pilot community health service in the 90's of the 20th century. However, compared with the registered population, the floating population in Shanghai, which has a strong demand for community health services, has always been in a weak position in its supply and utilization. It is difficult to provide basic health and medical services and health security for the migrant population, which is not conducive to the further development of community health services, but also to the improvement of the health level of the migrant population. In this paper, we study the current situation and problems of the providers and consumers of community health services for migrant population, and combine the impact of external environment on community health services. The development strategy of community health service suitable for the characteristics of floating population in Shanghai was put forward in order to improve the supply and utilization level of community health service for migrant population in Shanghai. Combining the knowledge of sociology, statistics, demography, economics and so on in the research methods, combining theoretical research with empirical analysis, qualitative analysis and quantitative analysis, through literature analysis, questionnaire research and other survey methods, The demand and utilization of community health services were analyzed by using the structural equation model from the perspective of demand side. This paper discusses and analyzes the basic situation of the supply side, the demand side and the external environment of the community health service for the migrant population, and puts forward the development strategy of the community health service suitable for the migrant population. So as to improve the development level of community health services in Shanghai, and also provide reference for other cities in China to carry out community health services for migrant population. The main research contents are as follows: (1) by consulting literature and data, this paper analyzes the development history and basic status of community health service, including institutional setup, service content, operation mechanism and so on, and finds out the existing problems. (2) analyze the current situation of community health service in Shanghai, especially the management system and operation mechanism of community health service center. The key factors restricting the development of community health service for migrant population and the main problems existed in the process of developing community health service for migrant population were found out. (3) the structural equation model is used to analyze the satisfaction degree of community health service demand and utilization of migrant population, so as to find out the relationship between the latent variables of community health service of migrant population. That is, the relationship between the influencing factors of community health service and satisfaction degree and its influencing factors.
【學(xué)位授予單位】：上海工程技術(shù)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：D669.3;D631.42

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