我国农村妇女医疗方式与就诊地点选择的影响因素分析

Analysis of Affect Factors of Rural Women on their Utilization of Medical Resource and the Behavior of Choosing Medical Service

目的了解农村地区妇女的健康和卫生服务利用现状。方法采用随机抽样的方法对462名18岁及以上农村妇女进行问卷调查。结果 27.8%的农村妇女患有慢性病,患有两种以上慢性病的妇女占6.7%;13.6%的农村妇女认为自己健康状况不好;47.0%的妇女患病后选择找医生看病治疗;村卫生室是农村妇女首选就医点。农村妇女的文化程度、年龄和到达医疗点最短时间等因素对其卫生服务利用有不同程度的影响;而距离、收费、技术和设备条件等则不同程度地影响农村妇女就医地点的选择。结论应根据农村妇女的健康状况和卫生服务需求,重视健康教育,提高就医便利性,完善农村卫生服务多元供给系统,提高卫生服务利用率。

OBJECTIVE To investigate the health status and application of health service of women in rural area. METHODS The method of random sampling was conducted to carry on questionnaire survey to 462 women in rural area. RESULTS The women with chronic disease accounted for 27.8%, the percent of women with two or more chronic diseases is 6.7% ; 13.6% of these women thought their health status was poor; 47.0% of the women always look see doctors when then feel bad. village clinics is the first choice for women in rural area; The education level, age, how long then need to get to the hospital and so on has various influence on the status of application of the health service; distance, charge, equipment, condition and so an has various influence on the choice of different levels of hospitals. CONCLUSION Health education and the convenience of getting health service should be emphasized, the multi-provision system of rural medical services should be perfected according to the health status of the women to improve the rate of the application of health service.