黑龙江省城乡居民卫生服务可及性分析

Analysis of health service accessibility for residents in urban and rural area of Heilongjiang province

目的了解黑龙江省居民的卫生服务可及性情况,为改善居民的卫生服务现状,并为卫生部门制定相关卫生决策提供建议参考。方法采用多阶段分层整群随机抽样的方法,对居民进行入户问卷调查。结果与2008年相比,黑龙江省居民2013年人均年收入增加了124.61%,人均消费总支出增加了113.59%,年人均医药卫生支出费用占消费总支出的比例,城市为15.61%,农村为13.12%。70.94%(城市84.38%,农村66.71%)的家庭离最近医疗单位的距离在1公里以内;51.52%(城市48.64%,农村52.43%)的家庭到最近医疗单位的时间在10分钟以内。居民社会医疗保险的覆盖率,城市为84.39%,农村为97.42%。结论与2008年第四次卫生服务调查相比,黑龙江省居民的生活卫生状况得到明显改善,卫生服务可及性提高。

Objective To know the health services accessibility for residents in Heilongjiang province, to improve the health status of the residents, and to provide suggestions for the relevant departments when they formulate health policy.Methods Using the method of Stratified-cluster random sampling and the household survey on residents. Results Residents in Heilongjiang province in 2013 annual per capita annual income increased by 124.61%, per capita consumption expenditure increased by 113.59% Campcning with. Annual per capita medical expenses accounts for the proportion of consumer spending, urban was 15.61%, rural was 13.12%. 70.94%（urban84.38%, rural66.71%）of the households from the nearest medical units within 1 km. 51.52%（urban48.64%, rural52.43%）of households to recent medical units within 10 minutes. Urban social health insurance coverage was 84.39% and that of rural is 97.42%.Conclusion Comparing with the fourth health services investigation, health status of the population living in Heilongjiang province, has been significantly improved, the accessibility of health services has improved significantly.