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A Study on the Health Service Utilization of Floating Population in Shanghai

Author: DaiJiaHui
Tutor: ChenGang
School: Fudan University
Course: Social Medicine and Health Management
Keywords: Floating population Utilization of health services Status quo Influencing factors
CLC: R197.1
Type: Master's thesis
Year: 2008
Downloads: 513
Quote: 3
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Abstract

Background The emergence of urban floating population is an inevitable phenomenon that accompanied the process of industrialization and urbanization. China's massive population movement began in the mid-1980s, and with the deepening of reform and opening up and rapid development of the market economy and the gradual formation of scale. Number of floating population in China has more than 10% of the country's total population; from the trend of development, its size will continue to expand, and as a special group of people and exist for a long time. The floating population in urban development has made great contributions, while at the same time, the city's various socio-economic welfare and security system is still be excluded from the \The outstanding floating population is marginalized in the city lack of necessary health care, this problem has been a serious threat to their own health, and begin to affect the city's public health, economic development and even social stability. So, from both the protection of the basic human right to health, or from the maintenance of the city's public health and safety, or from the point of view of building a harmonious society, should concern and attention to the health of the floating population, to improve the health care situation, carry out The research in this area is necessary. Research purposes by field research to understand the Baoshan District of Shanghai, the city's floating population health services take advantage of the current situation, analyze the current mobile population and household population differences in the use of health services, looking for factors that affect the floating population health service utilization, on this basis on floating population and health services utilization policy recommendations for improvements. Methods This study from the field data, literature and conventional statistics. Baoshan District, Shanghai research site, the use of multi-stage sampling method to conduct a site survey of the floating population of 4839 and 9216 total registered population of 14,055 objects. Survey data entry by Epidata 3.1 database, using SPSS 11.5 and Microsoft Excel 2003 statistical software and data processing and analysis, statistical description of analytical methods, univariate analysis and multivariate analysis. Results, the investigation of a high proportion of floating population who received treatment with the medical services of the formal institutions were 90.5% two weeks of treatment and 94.3% treated in Shanghai hospitalized patients in such institutions; community health service institutions has become an outpatient visits preferred, choose two weeks of medical treatment in such institutions attenders ratio of 50.0%. Weeks of medical treatment by the average number of visits and the annual average number and the number of days of injury hospitalization were 1.8 times and 1.1 times and 14.8 days, and its use of medical services close to the level of permanent residents due to illness. But is investigating a floating population of medical services utilization is low, two weeks attendance rates, two weeks in patients with attendance rates and years of illness injury hospitalization rates were 2.8%, 42.3% and 0.9%, significantly lower than the corresponding indicators of household population; two weeks in patients not treatment proportion (76.5%), and year should be hospitalized and not hospitalized proportion (27.9%) is higher than the household population many. Multivariate analysis results show that the levels of age and Medicare is the main factor to affect the floating population utilization of medical services. 2 higher overall utilization of maternal health care services of the floating population, women and child health services utilization is very low, there is the use of the imbalance. From the level of service utilization and quality of care, the average number of prenatal examination of the maternal, first trimester screening rate, the average number of postpartum visits and postpartum second visit rate and the number of annual per capita medical examinations of the children under the age of 7 to 5.1, 73.2 %, 0.6 times, 20.3% and 1.1 times, significantly lower than the corresponding indicators of the household population. In addition, investigation floating population confined to the prenatal examination (93.9%) on the utilization of maternal and child health services, health of the contents of a single, the lack of a system and the whole process of health care. Multivariate analysis, education, health insurance and income levels are the three major factors that affect the floating population maternal and child health services. 3, plans to investigate the floating population higher utilization of immunization services, Jian Zheng rate of vaccination of children under the age of 7, and five vaccines the seedlings inoculated rate more than 90%, and close to the children and the household registration. 4, the investigation of health education services and utilization of the floating population is less than ideal, service Utilization single, confined by media such as television, radio, books, network access to health policy, information, knowledge, and other ways to receive health education The proportion of less than 30%; see from the effect of health education, survey free vaccination policy of the current population of the five vaccines, tuberculosis prevention knowledge and its relief treatment policies, as well as the awareness of AIDS and its transmission routes is generally low. The policy recommendations of the medical security system, establish and improve the flow of population, the protection of basic medical and health care needs of the current population. 2, reversing the existing community management model, and strengthen community management of the floating population. 3, the establishment of a community health service institutions provided comprehensive health services for the main floating population model, gradually floating population's basic health care, maternal and child health care and public health services into the community health service management. Awareness of health care, strengthen health education, enhance the floating population.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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