甘肃两县农村中低收入群体医疗服务需求的调查分析

Analysis on medical service demand of mid-and-low income group in rural areas of Gansu Province

目的:了解甘肃农村中低收入家庭医疗服务需求和利用,分析农村医疗服务面临的基本问题,为完善基层医疗卫生服务体系建设提供参考。方法:对甘肃农村中低收入家庭医疗服务需求进行问卷调查和定量分析。结果:农村中低收入家庭慢性病的发病率较高;私人诊所、私人药店和乡镇卫生院成为其主要的就诊机构;医疗负担较重,药品支出所占比例较大。建议:加强农村慢性病防治工作,在费用控制的同时提高服务质量和建立农村医疗卫生服务需求表达机制。

Objectives： This article aims to realize the medical services demand and utilization of the mid-and- low income families in rural areas of Gansu Province, points out the basic problems that it faced, and provides empirical reference for improving the primary health service system. Methods： Investigations and quantitative analysis on the mid-and-low income families in rural areas of Gansu were used. Results ： In rural area, chronic diseases morbidity is quite high; private clinics and pharmacies, township health centets are their primary clinics selection; medical burden is relatively heavy, and mainly for the high level of drug expenditure. Recommendations： To strengthen the prevention and treatment on rural chronic disease, to enhance quality while controlling the medical expenses and to establish the expression mechanism of demand for health services.