摘要
目的了解边境贫困山区农民就诊情况及当地基层卫生机构的服务质量,探讨改善基层卫生服务、提高农民就诊率的办法.方法2007年10月,采用现况研究方法,入户问卷调查分层随机抽取的泸水县贫困山区246户农村居民.结果调查对象患病时的医院就诊率为65.4%,其中,傈僳族农民患病时的医院就诊率高于汉族(P=0.006).山区农民患病时多数喜欢选择乡村两级卫生机构就诊,认为村卫生室、乡卫生院的医疗服务质量一般,县级医院服务质量较好.结论乡村两级卫生机构为村民就医提供了便利,但现有医疗条件和技术水平距村民的期望值尚有差距,政府要加强基层卫生服务网建设,尤其要加大对网底的投入,提高医疗服务质量.
Objective Through understanding the hospital visit status of the farmers living in the poor mountainous areas of Lushui county and the service quality of local grassroots health organizations, so as to explore the ways to improve the service of grassroots health care and hospital visit rate of the farmers. Methods In October 2007, the methods of cross-sectional study and the questionnaire survey were used to investigate 246 mountainous families sampled by the method of stratified random sampling in Lushui county. Results The hospital visit rate of the farmers was 65.4%, that rate of Lisu nationality farmers was higher than that of Han nationality ones (P = 0.006). As being ill, most of the mountainous farmers preferred to visit the township and village health care institutions. They evaluated that the medical service quality of the village health rooms and township health institutions was in the middle level, and that of the county hospitals was in high level. Conclusions The township and village health care institutions facilitate the farmers, but the present medical condition and technical level is lower than the expectation of rural residents. It is suggested that the government should reinforce the construction of the grassroots health service network, especially increase investment on the bottom of network, so as to improve the quality of medical service.
出处
《昆明医学院学报》
2009年第8期82-84,89,共4页
Journal of Kunming Medical College
基金
云南省教育厅科学研究基金立项重点项目(09Z0035)
关键词
贫困山区
少数民族
农民
就诊率
卫生机构
Poor mountainous areas
Minority
Farmer
Hospital visit rate
Grassroots health organizations