农村艾滋病病人医疗服务利用现状及影响因素分析

Analysis on status quo of medical service utilization and its influencing factors among AIDS patients in rural areas

目的:分析农村艾滋病病人的门诊、住院利用及影响因素。方法:由当地卫生局协调,由艾滋病定点医院组织治疗的农村病人填写调查表,采用描述性分析、检验和非条件logistic回归进行统计分析。结果:农村艾滋病病人的两周就诊率为23.2%,年住院率为27.8%;性别、年龄、民族、文化程度、婚姻状况、感染途径、家庭年收入、家庭欠款、减免费用等因素与是否就诊均无关联(P>0.05),影响住院的主要因素为性别、家庭年收入和减免费用,OR值分别为5.066、5.181和52.426。结论:艾滋病病人的两周就诊率和年住院率高于一般农村居民;艾滋病病人到门诊就医不受各类因素的限制,女性病人、家庭收入较高的病人、曾报销/减免过医疗费用的病人住院的比例较高。

Objective： To analyze the status of outpatient service and hospitalization utilization among rural AIDS patients. Methods： The rural AIDS patients receiving anti-retrovirus treatment were selected and surveyed by questionnaire by AIDS-designated hospitals under the coordination of the local health bureau. The statistic analysis methods include descriptive analysis, chisquare test and non-conditional logistic regression analysis. Results： The two-week visit rate of rural AIDS patients was 23.2% and annual admission rate was 27.8%. The hospital visit has no relation with factors such as gender, age, ethnic group, education level, marriage status, route of infection, annual family income, family loan and deration of fee （ P 〉 0.05 ）. The influencing factors of hospitalization were gender, annual family income, deration of fee with OR of 5. 066, 5. 181 and 52. 426, respectively. Conclusion： The twoweek visit rate and annual admission rate among AIDS patients are both higher than that of other rural residents. No factors can influence the hospital visits of AIDS patients, but female patients, patients with high family income and with derationed medical fees were more likely to be hospitalized.