PDF(Pubmed)
Abstract：
China has become an emerging destination for international migration, especially in some Association of South East Asian Nations countries, but the situation of migrants seeking medical care in China remains unclear. A retrospective cross-sectional study was conducted in a hospital in Chongzuo, which provides medical services for foreigners, to investigate the situation of Vietnamese people seeking health care in Guangxi, China. Vietnamese patients who visited the hospital between 2018 and 2020 were included in the study. Demographic characteristics, clinical characteristics, characteristics of payment for medical costs, and characteristics of hospitalization were compared between outpatients and inpatients. In total, 778 Vietnamese outpatients and 173 inpatients were included in this study. The percentages of female outpatients and inpatients were 93.44% and 88.44% (χ2 = 5.133, P = .023), respectively. Approximately 30% of outpatients and 47% of inpatients visited the hospital due to obstetric needs. The proportions of outpatients with basic medical insurance for urban residents, basic medical insurance for urban employees, and new cooperative medical schemes were 28.02%, 3.21%, and 2.31%, respectively. In comparison, the proportion of inpatients with the above 3 types of medical insurance was 16.76%, 1.73%, and 2.31%, respectively. The proportion of different payments for medical costs between outpatients and inpatients were significantly different (χ2 = 24.404, P < .01). Middle-aged Vietnamese females in Guangxi, China, may have much greater healthcare needs. Their main medical demand is for obstetric services. Measurements should be taken to improve the health services targeting Vietnamese female, but the legitimacy of Vietnamese in Guangxi is a major prerequisite for them to access more and better healthcare services.
摘要：
中国已成为国际移民的新兴目的地，特别是在一些东南亚国家联盟国家，但是在中国寻求医疗服务的移民的情况仍不清楚。在崇左市某医院进行了回顾性横断面研究,为外国人提供医疗服务，为了调查越南人在广西寻求医疗保健的情况，中国。在2018年至2020年期间访问该医院的越南患者被纳入研究。人口特征，临床特征,医疗费用支付的特点，并比较了门诊和住院患者的住院特征。总的来说,778名越南门诊患者和173名住院患者被纳入本研究。女性门诊和住院患者比例分别为93.44%和88.44%(χ2=5.133,P=.023),分别。由于产科需要，大约30％的门诊病人和47％的住院病人到医院就诊。城镇居民基本医疗保险门诊患者比例,城镇职工基本医疗保险,新的合作医疗计划占28.02%，3.21%,和2.31%，分别。相比之下,上述3种医疗保险的住院患者比例为16.76%，1.73%,和2.31%，分别。门诊患者与住院患者不同支付方式的医疗费用比例差异有统计学意义(χ2=24.404,P<.01)。广西中年越南女性,中国,可能有更大的医疗保健需求。他们的主要医疗需求是产科服务。应采取措施改善针对越南女性的卫生服务，但越南人在广西的合法性是他们获得更多更好的医疗服务的重要前提。
