广州市流动人口基本医疗卫生服务可及性及影响因素研究摘 要本文以 2017 年流动人口动态监测数据作为研究对象，分析了广州市流动人口基本医疗卫生服务的可及性现状及其影响因素。本文主要运用描述统计分析、对比分析和二元 Logistic 回归分析的方法对广州市流动人口数据展开研究。研究发现，广州市的整体基本医疗卫生服务及可及性水平低于广东省水平。广州市的可及性影响因素包含多方面，包含婚姻状况、流动范围、就业身份、本地自购住房、参与社会医疗保险、受教育程度、到最近医疗服务机构时长、性别和月总收入。最终得出结论：（1）广州市流动人口医疗保障水平低；（2）广州市流动人口健康意识差；（3）广州市流动人口卫生服务利用水平偏低；（4）主观因素影响基本医疗卫生服务可及性；（5）客观因素影响基本医疗卫生服务可及性。最后，本文围绕分析结论提出了建议政府和医疗机构应帮助流动人口建立健康档案；加强流动人口的健康教育力度，流动人口也应积极配合；加强社区医院建立，解决流动人口的就医问题；完善流动人口医疗保障，提高流动人口社会医疗保险的参与率。关键词：流动人口；基本医疗卫生服务；可及性；影响因素A Study on the Accessibility and Influencing Factors of Basic Medical and Health Services of Floating Population in GuangzhouAbstractBased on the dynamic monitoring data of the floating population in 2017, this paper analyzes the accessibility of basic medical and health services of the floating population in Guangzhou and its influencing factors. This paper mainly uses descriptive statistics, comparative analysis and binary Logistic regression analysis to study the floating population data in Guangzhou. The study found that the overall level of basic medical and health services and accessibility in Guangzhou is lower than that in Guangdong Province. There are many factors influencing the accessibility of Guangzhou, including marital status, mobility scope, employment status, local self purchase housing, participation in social medical insurance, education level, time to the nearest medical servic...
