广州市城区居民两周患病及就诊状况分析

An analysis of the prevalence and outpatient in two weeks for urban residents in Guangzhou city

目的了解广州市城区居民卫生服务需求和利用情况,为更好地制定卫生资源配置政策提供依据。方法采用2003年全国第三次卫生服务调查中广州市城区有关居民健康状况、居民卫生服务需求和利用情况等资料进行分析。结果广州市城区居民的两周患病率为149.5‰,是否患慢性病是最主要的影响因素;两周就诊率为161.1‰,家庭人均收入是最主要的影响因素。两周患病率和两周就诊率均比1998年第二次卫生服务调查降低。结论居民卫生服务的需要量和门诊服务利用均出现下降,后者幅度较前者大。居民对门诊卫生服务的需求受到约束和抑制。降低慢性病患病率,提高居民收入及医疗保障水平有利于提高居民的健康水平。

Objective To analyze the requirement and the use of health service in Guangzhou to provide evidence to configure the sanitation resource. Methods The data about urban residents＇ health condition , requirement and use of health service, which is from the third national health service investigation in Guangzhou, is adopted and analyzed. Results the prevalence rate in two weeks of urban residents is 149.5‰, chronic is the major factor; the outpatient rate in two weeks of urban residents is 161.1‰, average income of a family is the major factor. Both prevalence rate in two weeks of urban residents and outpatient rate decrease in contrast with the second national health service investigation. Conclusion Both requirement and use of health service decrease. The available requirement of urban residents is restrained. We should reduce the chronic rate, improve the income and medical care system to enhance the health of people.