宁夏海原县农村住院卫生服务利用现况及其影响因素研究

Hospitalization Health Service Utilization Status and Influence Factors in Rural Residents of Haiyuan in Ningxia

目的探讨农村地区居民住院卫生服务需要向需求转化的程度及影响住院卫生服务的因素,对进一步提高参合农民住院补偿水平,合理配置公共卫生资源提出建议。方法采用分层随机抽样的方法获取样本,对宁夏海原县17个乡镇共76个村庄2508户农村居民进行入户调查。结果海原县农村居民住院率为6.5%,低于第四次国家卫生服务总调查的分析结果;居民的需住院而未住院标准率为22.00%,高于2008年第四次国家卫生服务总调查的分析结果20.09%。结论海原县农村居民基层住院卫生服务利用率低;性别、年龄、民族、文化程度、婚姻状况、医疗保险方式、经济困难及是否患有慢性病是影响住院率的主要因素。

Objective To explore the transformation level of hospital health services need and influence factors,to improve hospital compensation levels and to offer a proposal to rational configuration of public health resources.Methods Using stratified random sampling method,2508 rural residents in 76 villages were investgated in Haiyuan.Results The hospitalization rate in Haiyuan rural residents was 6.5 percent and it was lower than that of the fourth national health service survey;Non-hospitalization rate of those who needed to be admitted was 22.00%,and it was higher than that of the fourth national health service survey.Conclusion Rural hospitalization health service utilization rate is low in Haiyuan;Gender,age,nationality,culture degree,marital status,medical insurance way,economic difficulties and suffering from chronic diseases is the main factors affecting hospital admission rates.