Objective: To understand the current situation and influencing factors of public health service in floating population in Kunshan and provide a theoretical basis for formulating targeted policies.Methods: The study took five community health service stations in Kunshan as the target. The total number of floating people in the survey was 1 174. The χ2 test was used to compare the utilization of basic public health services among floating population, and binary Logistic regression model was used to explore the influencing factors of basic public health service utilization among floating population. Results: The overall utilization rate of public health services was 39.61%. The binary Logistic regression results showed that the educational level of middle school(OR=2.00),high school or technical secondary school(OR=1.70), college degree or above(OR=2.84), the cohabitation population(OR=1.89), total number of relocation cities(OR=0.73), frequency of returning to their hometown(OR=1.30), medical insurance payment(OR=0.74), time to medical institutions(OR=0.66), chronic diseases(OR=0.60), health self-evaluation(OR=0.73),health middle literacy(OR=1.49) and health high literacy(OR=1.78) were the influencing factors for the utilization of public health services(P<0.05). Conclusion: The management department of the gathering area should consider various factors thatinfluence thefloating people, such as the education level of the population, the number of cohabitants, the total number of relocation cities, frequency of returning to their hometown, medical insurance payment, time to medical institutions, chronic diseases, health self-evaluation and health literacy to reasonably allocate medical and health resources and formulate targeted public health service policies. |
[1] 任大扬,孙金海,程传苗.我国基本公共卫生服务均等化存在的主要问题与对策[J].中国初级卫生保健,2015,29(12):1-4.
[2] 何元卓,时宏,何南芙,等.东三省中老年流动人口慢性病患者健康管理服务利用及影响因素[J].中国老年学杂志,2021,41(6):1330-1332.
[3] 潘俊霞,邢星,闵捷. 社区2型糖尿病患者居民健康素养水平的条件Logistic回归分析[J].东南大学学报(医学版),2016,35(6):889-893.
[4] 王晓燕,朱枭镕.大数据对流动人口基本公共卫生服务均等化的影响[J].经济研究导刊,2022(31):69-71.
[5] 杨丹虹,陈舒婷,张秋,等.广东省青年流动人口健康教育服务利用情况的影响因素研究[J].中国健康教育,2021,37(6):496-500.
[6] 温笑笑. 重庆市流动老人基本公共卫生服务可及性及影响因素研究[D].重庆:重庆工商大学,2020.
[7] 裘奕嘉. 流动老年人社区健康管理利用与需求的调查研究[D].杭州:杭州师范大学,2019.
[8] 郭静,翁昊艺,周庆誉.流动人口基本公共卫生服务利用及影响因素分析[J].中国卫生政策研究, 2014, 7(8):6.
[9] 徐兴美,刘春光,代震,等.均等化试点政策对流动人口基本公共卫生服务利用的影响[J].卫生经济研究,2023,40(3):37-40.
[10] 廖智柳,张宇轩,王德文.福建省流动人口健康档案建立现状及影响因素分析[J].中国卫生事业管理,2022,39(3):227-230.
[11] 崔倩倩,刘雪薇,侯晓丽,等.流动老人常见病就诊及健康档案建立情况的影响因素分析[J].中国医疗管理科学,2021,11(6):1-6.
[12] 张璐璐,张开金.医疗保险费用结算方式对住院医疗服务效率的影响及对策[J].东南大学学报(医学版),2011,30(6):953-955.
[13] 陈瑜,赵小兰,梅怡. 社区高血压、糖尿病患者实施健康管理的效果分析[J].解放军预防医学杂志,2016,34(S1):178.
[14] 张秀敏,王铈迅,时宏,等.基于结构方程模型的流动与户籍人口心理健康教育影响因素的比较研究[J].中国卫生事业管理,2022,39(10):778-782.
[15] 廖智柳,王德文.老年流动人口心理健康教育现状及其影响因素分析[J].中国公共卫生,2022,38(7):922-927.
[16] 杜洁,田仕静,王娜,赵民,林钧昌.少数民族流动人口健康教育现状及影响因素分析[J].中国公共卫生,2021,37(2):233-237.
[17] 袁宏斌,邓宏林.基本公共卫生服务对流动人口健康的影响——基于CMDS2018数据的实证分析[J].社会科学家,2021(8):104-107+112.
[18] 贾娴珺,方琪,刘源,等.“互联网+”在缺血性脑卒中伴言语障碍患者健康教育中的应用[J].东南大学学报(医学版),2021,40(6):856-859. |