摘要目的 了解流动人口与当地常住人口基本公共卫生服务不均等的情况.方法 通过现场调研和访谈,抽样调查了浙江省某县的流动人口和常住人口各581人,了解两种人群的基本公共卫生服务在投入、机会.结果 上的不均等情况.结果 流动人口中享受过医疗救助的比例仅占7.8%,低于常住人口的13.4%;有40.9%的流动人口会因为较高的医药费用而不去就医,远远高于常住人口;流动人口妇科检查率为58.7%,低于常住人口(67.7%).结论 应增加公共卫生机构资源配置和财政投入,发展和完善社会医疗保障体系,促进不同人群间基本公共卫生服务的均等化.

abstractsObjective To probe into the inequality found in primary public health service available to the migrant population and permanent residents. Methods With on-site interviews, 581 migrant workers and 581 permanent residents in a county in Zhejiang province were surveyed, to learn the inequalities between the two in the expenditure, access and outcomes of the public health service accessible to each. Results only 7. 8% of the migrant population ever had access to medical aid, a ratio far below that of the permanent residents; 40. 9% of the migrant population may turn down medical service beyond their affordability, a ratio far higher; for the migrant population, their ratio of gynecological checkup is 58. 7%, lower than that of the permanent residents (67. 7%). Conclusion Resources and financial allocation to institutions of public health should be enhanced, and social medical and insurance system should be developed and improved, in an effort to encourage the equality of primary public health services accessible to various sectors of the population.