Quantitative Study On Behavior Of The Utilization Of Medical Care In Vulnerable Group

Objective:By the qualitative study on the elderly and the poor in Shanghai, Hubei and Ningxia, understand the health demand of vulnerable populations and their degree of satisfaction, analyze their health demand characteristics and decision-making process, discuss key factors in that process, to provide realistic basis to alleviate "see a doctor expensively and see a doctor difficultly" and achieve the objective of fair access to basic sanitation services.Methods:1,Literature Review and Existing Document Collection: Relevant literatures and existing socio-economic documents were collected and reviewed.2,Qualitative Study:In-depth interview and focus group discussions were organized with managers in Health Bureau and Civil Affairs, and vulnerable people.Key Findings:1,The elderly had more chronic diseases and the poor had limited captivity to pay. Social support of vulnerable groups was relatively weak. rural vulnerable groups were weaker than groups in urban,2,Vulnerable groups were more likely to suffer from unsatisfied health demand than the general population. There were few people let their diseases alone. And there was a increase number of self-care and a deduction in seeking no medical care.3,Vulnerable groups mainly went to grass-roots health organizations for medical care. The distribution of seeking medical care tend to be more reasonable, and gradually formed a pattern of going to community level health organizations when there were minor ailments, and going to hospital when diseases were serious.4,There was a certain degree of approval on the grass-roots health organization, relatively more complaint on urban secondary level hospital, and much more approval on tertiary level hospital.5,It was easy to seeking medical care but for serious diseases. It was difficult to see specialists in large hospitals. Medical expenses were high, including drug costs, and the inspection fees were higher.Suggestions:1,Strengthen government's support and investment to protect the rights of vulnerable groups2,Improve medical services to facilitate seeking medical advices for vulnerable groups3,For vulnerable groups, change their own health attitudes and improve their disadvantaged position4,Improve medical care system and medical aid system, improve health care accessibility...