昆明市某“城中村”本地村民与外来人口卫生服务需要与利用调查

Investigation of health services requirement and utilization of local residents and floating people in urban villages in Kunming

[目的]了解"城中村"人群的卫生服务需要和利用情况,为合理配置卫生资源、有效开展卫生服务提供依据。[方法]采用案例研究(case study)的方法通过文献回顾、个人深入访谈和问卷调查,对选取的具有"城中村"特征的目标社区的1372名"城中村"人群进行调查。[结果]调查人群两周患病率为41.5‰,两周就诊率为42.2‰,慢性病患病率为24.8‰住院率为45.9‰,其中本地村民和外来人口除两周就诊率外,在两周患病率、慢性病患病率和住院率方面差异均有统计学意义。[结论]"城中村"人群卫生服务利用率较低,有明显的卫生服务需要,建议针对城中村特点,积极采取社会卫生政策来保障"城中村"人群健康。

Objective To know the requirements and utilization of health care services of the residents in urban villages in Kunming so as to provide scientific basis for reasonable allocation of health care resources and supply of health care services. Methods Adopted case study approach by literature review, in-depth interview and a questionnaire survey. Selected 1372 inhabitants from urban villages. Results There were 41.5‰patients among the surveyed populations in last two-weeks, outpatient rate was 42.2‰. Chronic disease morbidity was 24.8‰ and the hospitalization rate was 45.9‰. There was statistic significance differences in two-weeks disease morbidity, chronic disease morbidity and the hospitalization rate between local residents and floating people. Conclusions The residents who live in urban villages have greater requirements for health care services while their utilization of health care services is inadequate. Government should adopt a positive social health policy according to the characteristic of urban villages so as to ensure their healthy who live in urban villages.