Study On Hospitalized Services And Its Equity Among Weihai Residents

Along with the social economy development, our country inhabitant health service demand and the use has had very sweeping change. Recent year, the inhabitant "see a doctor difficultly", "expensively to see a doctor" the question to be more prominent, hygienic service fairness receives the attention day by day. Therefore only understand inhabitant's need, the demand and the use situation, can reasonably dispose the limited hygienic resources, causes its display biggest benefit, maximum limit meets the people medical service needs. This research is a Weihai inhabitant's health service investigation and study part, mainly is hospitalized from the consumer angle analysis Weihai city and countryside inhabitant the service use and fairness present situation, for satisfies the inhabitant to be hospitalized well the service demand, enhances the sanitation systemreactivity to provide the reference.This investigation involves a three cities area which the prestige mirage governs. This research uses the lamination entire group randomsampling method, altogether investigates the countryside 17,179people, the city 3,230 people. Investigation all materials manage theresearch institute by the Shandong University sociological medicineand the public health to unify the code to reorganize, organize thepersonnel to carry on the input, is unmistakable after the inspectiondata, does not have the omission, uses the SPSS13.0 software packageto carry on the statistical analysis. This investigation main content includes: 1. Family member'sdemography characteristic, like sex, age, marriage, education level,occupation and so on; 2. Home economics condition, medical servicehealth expense disbursement, medical safeguard system and so on; 3.The investigation first half of the year in chronic illness is sickthe situation; 4. Before the investigation in a year is hospitalizedthe service use situation, like is hospitalized the population, ishospitalized the person number of times, is hospitalized the expense,is hospitalized the organization and so on; 5. Before theinvestigation a year should be hospitalized the situation extremelyreason; 6. Is investigated person's aware state of health and thepsychologically healthy condition.This research like is sick the situation to family member's ordinarycircumstances, is hospitalized the service to use the descriptionanalysis using the situation; To affects the inhabitant to behospitalized the service use factor to use the Logistic return modelto carry on the analysis; Using method survey different economyhorizontal crowd and so on between range target and centralism indexis hospitalized service use aspect fairness.Main result: 1. The prestige mirage inhabitant always beinghospitalized rate is 43.9‰, among: The city is 63.1‰, thecountryside is 40.2‰. 2. Mainly is hospitalized the organization is the urban population mainly is the cities and areas hospital, accounts for 42.6%, next is the county hospital, accounts for 35.5%; Thecountryside inhabitant mainly is the county hospital, accounts for41.9%, next is the villages and towns public health center, accountsfor 24.1%. 3. Prestige mirage inhabitant's state of health: Selfinductance state of health worse, being hospitalized rate is higher;Expressed psychologically healthy condition K10 value higher,explained its psychologically healthy condition worse, beinghospitalized rate is higher. But between is hospitalized service useaspect fairness.Moreover between the city and the countryside has remarkable difference. 4. The influence is hospitalized the service use factor toinclude: Family, age, marital status, education level, occupation,medical safeguard system, whether contracts chronic illness and so on.5. Should be hospitalized the proportion which but has not beenhospitalized is 28.2%: City is 18.4%, the countryside is 30.5%. Hasnot been hospitalized the first three reasons are in turn the economydifficult, have been nonessential and do not have the time. 6. The being hospitalized order is hospitalized the direct medical expensecity is 8,080 Yuan, the countryside 6,917 Yuan; median the city is 5,600 Yuan, the countryside 3,100 Yuan 7. Is hospitalized service use fairness: The city peoples arehospitalized the service to use the majority of centralisms in thehigh income crowd, but the overall service use is fair. Thecountryside inhabitant is hospitalized serves the low income crowd tobe hospitalized the level to be higher than the high income crowd.Looked from the overall that, the prestige mirage inhabitant ishospitalized the service to be bigger than 1 using the target beinghospitalized rate rate ratio, the rate difference is a positivenumber, the centralized index is a negative number, explained alsoexists is hospitalized the service use not fairness.The conclusion with suggested that, 1 .Clear and definite the government function,provide political opponentsupport,add the foun invest 2.Prove the educate of the health,prove the consciousness of the health,reduce the influence of the inself-health and psychology to the fair of the health serve 3.Perfect and complete the medical treatment guarantee and medical treatment assist systerm of the poor of the cities and towns 4. Takes the powerful measure, the control medicalexpense unreasonable growth.