产业聚集区居民卫生服务需求与利用分析

Health service demand and utilization among residents in industry cluster district

目的:了解产业聚集区居民卫生服务需求和利用状况,为社区居民健康干预提供决策依据。方法:采取分层整群随机抽样方法,在马鞍山市郑蒲港新区姥长行政村抽取3个自然村164户,由调查员入户进行健康调查。结果:产业聚集区居民两周患病率为14.3%,男女差异有统计学意义(P<0.05),居民两周就诊率为8.0%;两周患病率前三位的疾病系统为呼吸系统、循环系统、消化系统;居民住院率为9.2%,男女差异无统计学意义(P>0.05);住院率前三位的疾病系统是损伤和中毒、循环和呼吸系统疾病;居民就诊机构主要在村卫生室,住院主要在市级机构。结论:产业聚集区居民卫生服务需求与利用水平偏低;女性是重点关注人群;呼吸和循环系统疾病是重点关注疾病;基层医疗机构卫生服务质量有待提高;经济困难是卫生服务未利用主要原因。

Objective To analyze the health service demand and utilization among residents in industry cluster district and to provide basis for decision making of the community health interventions. Methods Totally 164 households in 3 natural villages were selected by means of stratified--cluster sampling from a district of Ma＇anshan city, among whom the investigators made door--to--door health survey. Results The two--week prevalence of disease was 14.3% with a significant difference between men and women（P〈0.05）. The two--week visit rate was 8.0%. Diseases ranking the top three morbidities were respiratory system and circulatory system,digestive system. Hospitalization rate was 9.2 % with no significant difference between men and women（P〉0.05） ; Diseases ranking the top ＇three hospitalization rates were injury and poisoning, circulatory and respiratory diseases. The respondents mainly got outpatient service in village clinics and were usually hospitalized in municipal institutions. Conclusions Health service demand and utilization among residents in industry cluster district is at a low level. Women＇s medical problems should be paid close attention to. The respiratory and circulatory system diseases should be taken into account. The quality of health services in primary health institutions needs to be improved. Financial difficulty is the main reason for inability to utilize health service.