2004年兵团城市和农场居民住院医疗服务情况分析

Analysis on the utilization of urban and rural inpatients in Xinjiang Production and Construction Corps

目的:了解兵团居民的住院医疗服务利用情况.方法:利用2004年兵团卫生服务家庭入户调查资料.结果:兵团居民的住院率为74.7‰(95%的可信区间为72.2‰～79.2‰),城市为82.2‰,农场为71.8‰,城乡居民住院率比较,χ2=4.177,df=1,P=0.041,城市居民住院率高于团场;兵团居民未住院率为24.5%,城市为31.3%,农场为21.0%,城市和农场居民未住院率比较χ2=16.759,df=1,P=0.00,差异有统计学意义;兵团居民因经济困难未住院所占比例最高达59.0%,城市占66.3%,农场占54.3%.结论:兵团居民住院服务利用高,未住院率低,城市居民多选择大医院住院,增加医疗费用负担.

Objective: The paper reflected medical services utilization of hospitalization.Methods:Using Corps Second Health Service households survey data.Results:The hospitalization rate of population in Xinjiang Production and Construction Corps was 74.7‰(95%CI 72.2‰～79.2‰),of which the rate of urban dwellers was 82.2‰,and that of rural residents was 71.8‰,In comparison,the difference between the hospitalization rate of urban and rural dwellers was statistically remarkable(χ2=4.177,df=1,P=0.041).The rate of no hospitalization in need for hospitalization was 24.5%,the rate of urban dwellers was 31.3% and that of rural resident was 21.0%,there were significant in city and farm(χ2=16.759,df=1,P=0.00).The major reason for the sufferers who gave up hospitalization was financial difficulties,which takes 59.0%(city 66.3%,farm is 54.3%.Conclusion:The utilization of hospitalization is high in corps,urban residents select large hospital and increase their medical expenses burden.