|本期目录/Table of Contents|

[1]彭娟霞,刘小娟,何淑兰,等.宁夏农村居民自感健康改善的影响因素分析[J].宁夏医科大学学报,2019,(06):620-625.[doi:10.16050/j.cnki.issn1674-6309.2019.06.018]
 PENG Juanxia,LIU Xiaojuan,HE Shulan,et al.Analysis on the Influencing Factors of Self-perceived Health Improvement of Rural Residents in Ningxia[J].Ningxia Medical University,2019,(06):620-625.[doi:10.16050/j.cnki.issn1674-6309.2019.06.018]
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宁夏农村居民自感健康改善的影响因素分析(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年06期
页码:
620-625
栏目:
经验交流
出版日期:
2019-06-30

文章信息/Info

Title:
Analysis on the Influencing Factors of Self-perceived Health Improvement of Rural Residents in Ningxia
文章编号:
1674-6309(2019)06-0620-06
作者:
彭娟霞 刘小娟 何淑兰 刘 兰
(宁夏医科大学公共卫生与管理学院,流行病与卫生统计学系,银川 750004)
Author(s):
PENG Juanxia LIU Xiaojuan HE Shulan LIU Lan
(Department of Epidemiology and Health Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan 750004,China)
关键词:
农村居民自感健康状况双重差分模型影响因素
Keywords:
rural residents self-perceived health status difference-in-differences model influencing factors
分类号:
R195.1
DOI:
10.16050/j.cnki.issn1674-6309.2019.06.018
文献标志码:
B
摘要:
目的 分析创新支付制度对农村居民自感健康状况的影响,以及创新支付制度对自感健康状况改善的影响因素。方法 采用分层整群随机抽样的方法选取宁夏5个县的农村居民进行入户调查,分别于创新支付制度实施前后,非连续横断面调查4年;采用秩和检验分析农村居民自感健康状况改善的影响因素;运用双重差分模型(DID)的方法分析创新制度对农村居民自感健康的政策效应。 结果 不同年份对居民自感健康状况的影响不同;政策实施前自感健康状况在对照县和干预县之间差异无统计学意义(P>0.05),在实施后,2012年干预县高于对照县(P<0.05);在2015年差异无统计学意义(P>0.05);性别、年龄、外地打工情况、慢性病情况、非极度焦虑人群以及非极度身体疼痛患者在政策干预后自感健康状况“比一年前好多了”的比例均比干预前升高(P均<0.01)。 结论 创新支付制度对宁夏农村居民自感健康状况影响的近期效应优于远期;自感健康状况的改善与性别、年龄、文化程度、外地打工情况、是否患有慢性病、焦虑情况、家庭欠款情况、身体行动、身体疼痛情况等显著相关。
Abstract:
Objective To analyze the impact of innovative payment system on rural residents’ self-perceived health status and the influencing factors of innovative payment system on the improvement of self-perceived health status. Methods A stratified cluster random sampling method was used to select rural residents from five counties of Ningxia for household survey,and a discontinuous cross-sectional survey was conducted for four years before and after the implementation of the innovation system. Rank sum test was used to analyze the influencing factors of rural residents’ self-perceived health improvement. The policy effects of the innovation system on rural residents’ self-perceived health were analyzed by using the method of double difference model(DID). Results The influence of different years on residents’ self-perceived health status was different. There was no significant difference in self-perceived health status between the control and intervention counties before the implementation of the policy(P>0.05), but there was significant difference in 2011 and 2012 after the implementation(P<0.05), and the intervention counties were higher than the control counties in 2012; there was no significant difference in gender and year in 2015(P>0.05). Gender,age, migrant workers, chronic diseases, non-extreme anxiety and non-extreme physical pain patients’ self-perceived health status “much better” after the policy intervention was higher than before (all P<0.01). Conclusion The short-term effect of innovative payment system on self-perceived health status of rural residents in Ningxia is better than the long-term effect; the improvement of self-perceived health status is significantly related to gender,age,educational level,migrant workers,chronic diseases, anxiety, family arrears,physical action and physical pain.

参考文献/References:

[1] 李士雪,吕少丽. 人群自感健康评分及其影响因素研究[J]. 中国公共卫生,2003,19(6): 678-681.
[2] Kaplan GA,Camacho T. Perceived health and mortality:A nine-year follow-up of the human population laboratory cohort[J]. Am J Epidemiol,1983,117(3): 292-304.
[3] 李慧娟,徐凌忠,王兴洲,等. 农村居民自感健康状况及影响因素分析[J]. 中国公共卫生,2008,24(7):851-853.
[4] 创新支付制度提高卫生效益[J]. 人口与计划生育, 2015(6):4-5.
[5] 东梅,王桂芬. 双重差分法在生态移民收入效应评价中的应用——以宁夏为例[J]. 农业技术经济,2010(08):87-93.
[6] 李江平,张翻弟,杜建财,等. 医疗支付制度改革对居民医疗意愿和医疗方式的影响:以宁夏农村地区为例[J]. 现代预防医学,2016,43(9):1611-1616.
[7] 周黎安,陈烨. 中国农村税费改革的政策效果:基于双重差分模型的估计[J]. 经济研究,2005,40(8): 44-53.
[8] 刘小宁,高文龙,颜虹,等. 双重差分模型在社区干预研究效果评价中的应用[J]. 中国卫生统计,2013, 30(1):21-22.
[9] 段晓娟. “创新支付制度,提高卫生效益”项目的实施对参合农民门诊、住院卫生服务利用的影响研究[D]. 银川:宁夏医科大学,2013.
[10] 李鎏勋,潘泽泉. 老龄化社会与医疗社会工作面临的挑战与应对[J]. 湘潮(理论版),2011(2):65-66.
[11] 李鹏华,潘春柳,张威,等. 贵阳市云岩区成年人健康自评影响因素分析[J]. 中国校医,2015,29(6): 432-435.
[12] Cockerham WC,Sharp K,Wilcox JA. Aging and perceived health status[J]. J Gerontol,1983,38(3): 349-355.
[13] 李坚. 影响自感健康的因素(综述)[J]. 广州医药, 1995,26(4):1-6.
[14] 王婷,李革,李凌竹,等. 农村居民身心健康状况及影响因素分析[J]. 重庆医学,2012,41(13):1307-1309.
[15] 严晶晶. 医疗卫生政策的研究综述:从决策系统、结构因素和作用对象的角度[J]. 未来与发展,2019, 43(2):8-14.
[16] 张环环. 医疗保障政策研究综述:基于万方数据2006-2015年的分析[J]. 新西部(理论版),2016(11): 5-6.

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备注/Memo

备注/Memo:
收稿日期:2018-09-01
基金项目:宁夏卫生厅与哈佛大学合作项目:“创新支付制度,提高卫生效益”试验项目基金资助(2009-2015;71463046)
作者简介:彭娟霞(1991-),女,甘肃临洮人,在读硕士研究生,研究方向:慢性病流行病学。
通信作者:刘兰,女,教授,硕士研究生导师。E-mail:liulan-162@163.com
更新日期/Last Update: 2019-06-30