【摘要】：背景:雖然我國(guó)經(jīng)濟(jì)迅速發(fā)展,但是由于貧富差距,經(jīng)濟(jì)增長(zhǎng)和社會(huì)基礎(chǔ)事業(yè)發(fā)展脫節(jié)等問(wèn)題,不同群體的基本醫(yī)療衛(wèi)生服務(wù)狀況和醫(yī)療衛(wèi)生利用水平存在顯著差異,尤其是流動(dòng)人口這個(gè)健康弱勢(shì)群體。首先,流動(dòng)人口數(shù)量劇增,2014年達(dá)到2.21億人,占總?cè)丝跀?shù)的18%。其次,流動(dòng)模式發(fā)生改變,流動(dòng)人口呈現(xiàn)攜妻帶子、攜老扶幼的家庭式流動(dòng)狀態(tài),2015年流動(dòng)人口在流入地的家庭規(guī)模平均達(dá)2.61人。目的:通過(guò)對(duì)2014年全國(guó)流動(dòng)人口監(jiān)測(cè)數(shù)據(jù),探究不同人口流動(dòng)模式在基本醫(yī)療衛(wèi)生服務(wù)利用狀況上的差距,分析家庭式流動(dòng)人口使用基本衛(wèi)生醫(yī)療服務(wù)的影響因素。根據(jù)該群體醫(yī)療衛(wèi)生服務(wù)需要和群體特殊性,提出能夠提高家庭式流動(dòng)人口基本醫(yī)療衛(wèi)生服務(wù)水平的相關(guān)建議和解決措施。方法:一是對(duì)2014年全國(guó)流動(dòng)人口監(jiān)測(cè)數(shù)據(jù)進(jìn)行定量分析,利用SPSS23.0,主要分析方法有統(tǒng)計(jì)描述、單因素分析和多因素分析(Logistic回歸)等。二是對(duì)北京小紅門(mén)肖村地區(qū)的流動(dòng)人口進(jìn)行半結(jié)構(gòu)式訪談。結(jié)果:1、流動(dòng)人口對(duì)基本醫(yī)療衛(wèi)生服務(wù)的整體利用率低,但是家庭式流動(dòng)人口比非家庭式流動(dòng)人口的利用率高,家庭式流動(dòng)人口建立健康檔案的比例為25.9%,非家庭式的建檔率為19.7%。2、家庭式流動(dòng)人口有其自身的脆弱性和特殊性,由于家庭式流動(dòng)人口中包括更多的老年人和孩子,所以他們對(duì)健康更加關(guān)注,對(duì)健康知識(shí)的需求更為迫切。一年內(nèi)有4.8%的家庭式流動(dòng)人口住過(guò)院,約是非家庭式流動(dòng)人口的3倍。3、通過(guò)多因素logistic回歸分析發(fā)現(xiàn),結(jié)婚比未婚、流入時(shí)間越長(zhǎng),流動(dòng)范圍越小、受教育程度越高,有正規(guī)職業(yè)的對(duì)基本醫(yī)療衛(wèi)生服務(wù)的利用率更高建議:1、以社區(qū)為單位針對(duì)性地對(duì)不同區(qū)域的家庭式流動(dòng)人口進(jìn)行幫扶2、做好社區(qū)基本醫(yī)療衛(wèi)生服務(wù)的宣傳和普及3、加強(qiáng)社區(qū)對(duì)家庭式流動(dòng)人口的管理和服務(wù)4、加強(qiáng)健康教育,提高家庭自身發(fā)展能力
[Abstract]:Background: although China's economy is developing rapidly, due to the gap between the rich and the poor, the disconnection between economic growth and the development of social basic undertakings, there are significant differences in the basic medical and health services and the level of medical and health utilization among different groups. Especially the floating population as a healthy and vulnerable group. First, the number of floating population increased dramatically, reaching 221 million in 2014, accounting for 18 percent of the total population. Secondly, the floating pattern has changed, the floating population presents a band of carrying wives and family mobility with the elderly and the young. In 2015, the average family size of the floating population in the floating areas reached 2.61. Objective: to explore the differences in the utilization of basic medical and health services among different floating population patterns and analyze the influencing factors on the use of basic health care services in family floating population by analyzing the national floating population monitoring data in 2014. According to the need and particularity of the medical and health service of this group, the paper puts forward some relevant suggestions and solutions to improve the basic medical and health service level of the family floating population. Methods: firstly, quantitative analysis was carried out on the monitoring data of floating population in 2014. The main methods of SPSS23.0, analysis included statistical description, single factor analysis and multivariate analysis (Logistic regression). Second, a semi-structured interview on the floating population in Xiaohong Menxiao Village, Beijing. Results: 1. The overall utilization rate of basic medical and health services for the floating population is low, but the utilization rate of the family floating population is higher than that of the non-family floating population. The proportion of family floating population establishing health files is 25.9 and that of non-family migrants is 19.70.The family floating population has its own vulnerability and particularity, because more elderly people and children are included in the family floating population. So they pay more attention to health and the need for health knowledge is more urgent. Within one year, 4.8% of the family floating population lived in hospital, about three times as many as non-family floating population. Through multivariate logistic regression analysis, it was found that marriage is more than unmarried, the longer the inflow time, the smaller the mobility range and the higher the education level. A higher utilization rate of basic medical and health services for those with formal occupation recommendation No. 1: 1, take the community as a unit to help the family-type floating population in different regions, and do a good job in publicizing and popularizing basic medical and health services in the community (3) strengthen the management and service of the family floating population in the community 4, strengthen health education, Improving the ability of families to develop themselves
【學(xué)位授予單位】：首都經(jīng)濟(jì)貿(mào)易大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R197.1;C924.2

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