广西容县农村居民卫生服务需要、需求与利用调查

Survey on Health Need, Demand and Utilization among Rural Residents in Rongxian in China School of Public Health

目的了解广西容县农村居民卫生服务需要、需求和利用现状。方法采用分层抽样的方法,对广西容县3个乡镇6个行政村445户2 283名居民进行家庭健康询问调查。结果调查地区农村居民的两周患病率为223.8‰,慢性病患病率为16.0%;两周就诊率为32.9%;住院率为7.4%。92.9%的患者就诊时选择村卫生室或乡镇卫生院;57.7%的住院者住院医疗机构选择县级医院。22.9%的未就诊病人与71.4%的未住院病人是缘于经济困难。结论农村居民的卫生服务需要、需求和利用程度较高,就医流向基本趋于合理;疾病经济负担仍是影响农村居民卫生服务利用的主要因素。

OBJECTIVE To analyze the health service need, demand and utilization among rural residents in Rongxian county of Guangxi.METHODS Vsing stratified sampling method to investigate the family health situation with questionnaire in 2 283 residents among 445households, 6 administrative villages and 3 towns. RESULTS The two-week prevalence rate of rural residents in the investigated area was 223.8‰, the rate of chronic disease was 16.0%, the rate of two-week consultation was 32.9%, the hospitalization rate was 7.4%.92.9% of the patients choosed village clinics and township hospitals while they are in need, while 57.7% of the in-patients choosed a county-level hospitals. 22.9% of the rural residents who should be in the clinic and 71.4% of the rural residents who should be hospitalized did not seek a medical services due to economic stress. CONCLUSION The health service need, demand and utilization degree of rural residents were in a high level, their preference of seeking health service was tend to be reasonable. The economic burden of disease was still a main factor that influenced the health services utilization of rural residents.