目的:通过分析基本药物政策实施后新农合居民医药服务选择意向与利用变化,提出相关政策建议。方法:收集资料运用描述性分析、对比分析与雷达图等方法。结果:新农合居民对村卫生室医药服务选择意向下降,乡镇卫生院、县级及以上医疗机构选择意向呈上升趋势;村卫生室医药服务利用下降,乡镇卫生院上升,县级医疗机构变化不明显。结论:如不正确引导新农合居民医药服务选择意向,可能会促使其实际利用向县级及以上医疗机构转移,可能会对基层医疗机构尤其村卫生室的健康发展产生影响。
Objective To analyze the choice intentions and utilization changes of medical service in the new RCMs residents under the Essential Medicine System and then give proposal to improve policy. Methods The data collection was used to analyze with general descriptive statistics, Comparative Analysis and Radar Chart. Results The choice intentions of medical service in the village elinics were decreased, but the changes were increased in the township hospitals, county-level medical institutions and a- bove. The utilization changes of medical service were decreased in the village clinics, and were increased in the township hospitals, but were not obvious in the county-level medical institutions. Conclusions If did not correctly guide the choice intentions of medical service in the new RCMs residents, it may promoted their utilization of medical service to the county-level medical institutions, and the healthy development of primary health care institutions, especially village clinics , might were affected.