Abstract:

Objective To analyze the quality of utilizing basic medical services by the floating population in Shanghai.  Methods The 2014 monitoring data of the floating population in Shanghai was adopted to analyze the quality of utilizing basic medical services by the floating population. The enumeration data was described by proportions and the quantitative data was described by means. The differences among groups were compared by the chi-square test. Results About 14.4% of floating population should be hospitalized, but did not. Main reasons were needless (41.5%) and economic hardship (30.2%). Annual hospitalization rate of the floating population was 3.9% and main reasons were childbirth (66.1%) and diseases (22.0%). A total of 142 (45.2%) hospitalized patients did not apply for reimbursement of hospitalization. Main reasons were no medical insurances (44.4%), inconvenient to go back hometown (16.2%), and forbiddance by policies (14.8%). About 61.1% of floating population was hospitalized in county or district hospitals. The average medical expense of floating population for hospitalization was 10 392.0 Yuan and 5 764.1 Yuan (55.5%) were paid by themselves, while 4 627.9 Yuan (44.5%) were reimbursed. Conclusion The utilization of health services by the floating population is insufficient and the quality of utilization is unsatisfactory. Relevant public health departments should comprehensively develop the medical security system, reduce the differences of medical security of different populations and regions, endeavor to ensure easy reimbursement and settlement for floating population by systems, establish the constraint mechanism of honesty and credit, and fundamentally solve the problem of low insurance coverage.

Key words: floating population, utilization of basic medical service, quality