陕西省神木县城乡居民医疗服务需要与需求分析

Analysis on the status of urban and rural residents' need and demand for health services in Shenmu County Shaanxi Province

目的:了解神木县城乡居民的医疗服务需要和需求,为分析评价神木县卫生服务利用状况提供依据。方法:采用多阶段分层随机抽样,对神木县9个乡镇800户2617名城乡居民的健康状况、门诊和住院医疗服务需求情况进行问卷调查,对数据进行统计分析。结果:(1)调查对象两周患病率为13.22%;(2)调查对象两周门诊就诊率为10.13%,年住院率为9.32%;(3)调查对象次均门诊费用为243.34元,次均住院医药费用为7207.25元,次均住院报销费用为4112.43元。结论:(1)两周患病率较低,患病病种多属于常见病和多发病;(2)住院费用实际补偿水平较高;(3)住院医疗服务需求不合理。

Objectives：This article is to find out the status of urban and rural residents＇ need and demand for health services in order to provide evidences for the further analysis and evaluation of the utilization of health services in Shenmu County. Methods：Under the principle of multi-stage stratified random sampling,we conduct a questionnaire survey to address health status,outpatient and inpatient medical services with total 2 617 urban and rural residents from 800 families in 9 towns. The statistical analysis methods are used to analyze the data. Results：（1） Prevalence prior to two weeks of the survey was 13.22%; （2） Outpatient rate was 10.13%,the hospitalization rate was 9.32%; （3） Outpatient expenses per visit was 243.34 Yuan,while,in-patient expense per admission was 7 207.25 Yuan,in-patient reimbursements per admission was 4 112.43 Yuan. Conclusions：（1） Prevalence prior to two weeks of the survey was lower,disease types were common and frequently-occurring diseases; （2） The actual compensation level of in-patient expenses was higher; （3） The demand of hospital service was not reasonable.