Zhao Xin, Ming Di-yao, Ma Wen-jun
Department of Occupational and Environmental Health, Peking University School of Public Health, Beijing 100191, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2015 Jun 18;47(3):464-8.
To examine the utilization and cost of outpatient care and their influencing factors among middle and aged peasant-workers in China.
The data of China Health and Retirement Longitudinal Study (CHARLS) collected in 2011-2012 were used and the data on peasant-workers aged 45 years and older were analyzed with Two-part Model.
The four-week outpatient rate of middle and aged peasant-workers was 13.7% (407/2 974). The determinants of the rate included gender, marital status, economic level, household size, the place of insurance enrollment, self-assessed health and having or having no chronic diseases. The average outpatient cost was (400.3±56.7) yuan (RMB) and the median was 138.0 yuan. Multivariate analyses showed that outpatient costs were higher for those males who lived in Eastern China and worked at the same place with insurance enrollment, with fair to bad self-assessed health and chronic diseases.
Allowing higher flexibility for migrants to transfer the new rural cooperative medical system(NCMS) between rural and urban areas and thus making reimbursement for medical services provided by undesignated providers received immediately could increase the use of outpatient services.
探讨我国中老年农民工门诊服务利用情况、费用及其影响因素。
采用中国健康与养老追踪调查（CHARLS）2011—2012年的数据，运用两部模型对45岁及以上农民工数据进行分析。
中老年农民工四周门诊就诊率为13.7%（407/2 974）。就诊率的影响因素包括性别、婚姻状况、经济水平、家庭规模、参保地、自评健康状况以及是否患有慢性病。门诊费用均值为（400.3±56.7）元，中位数为138.0元。多因素分析显示，东部地区男性、在参保地工作、自评健康状况一般及较差、患有慢性病的农民工门诊费用较高。
提高新农合制度在城乡间转移的灵活性，使非定点医疗机构门诊服务报销能及时到位，可提高农民工门诊服务利用水平。
