陕西农业人口的门诊医疗需要、需求及影响因素分析

Research on the need and demand of medical services for farmer outpatients and its affecting factors from Shaanxi rural area

目的 了解陕西省农业人口门诊医疗服务的需要和需求,并探讨其主要的影响因素。方法 利用2 0 0 3年第3次国家卫生服务的数据进行单因素及多因素Logistic回归分析。结果 陕西农业人口的两周患病率为119.9‰,两周患病未治疗的比例占2 3 .6% ,两周就诊率为118.9‰,低于全国平均就诊水平14‰及全国农村平均就诊水平2 0‰。单因素分析显示,陕西农业人口的两周就诊率与年龄、性别、文化程度、慢性病及恩格尔系数有关(P <0 .0 5 )。多因素分析显示陕西农业人口的就诊率与性别、慢性病、年龄及家庭恩格尔系数等有关(P <0 .0 5 ) ,其中最主要的因素是慢性病,其OR值为12 .2。结论 陕西农业人口的门诊需要尚未得到有效满足,农业人口就诊与否是多因素共同作用的结果。

Objective To know the farmer's need and demand of m ed ical services for outpatients of Shaanxi rural area, and to find its mainly affe cting factors. Methods The data of the third national health service survey (Shaanx i province dat a) in 2003 were studied with single analysis and multiple Logistic regression mo del. Results The two-week morbidity rate and two-week visiting rate of the Shaa nxi farmer were 119.9‰ and 118.9‰, the two-week visiting rate of Shaanxi farm er was 14‰ lower than the average level of country and 20‰ lower than the rur al a verage level. The proportional of no treatment is 23.6%. Single analysis showed that the two-week visiting rate were affected by the age, sex, education a l age, chronic disease, Engle index(P<0.05). The multiple variable analysis reve aled that the farmer effective requirement to clinic were mainly affected by chr onic disease, sex, age and Engel index of the family. Of all the risk factors, t he chronic disease was a primary factor, its odds ratio was 12.2. Conclu sions Shaanxi peasants'need of health service is still not enough to be satisfied. Many factors determined the peasants' two-week visiting rate.