西藏贫困农牧民就医行为及就医满意度调查

Hospital visit and satisfaction with medical treatment among poor farmers and herdsmen in Tibet

目的:了解西藏贫困农牧民就医行为与就医满意度,为改善贫困农牧民就医现状提出政策建议。方法:采用现况研究,对抽到的贫困农牧民采用自填式问卷调查。结果:西藏贫困农牧民总体体检率为56.0%,不同文化程度的贫困农牧民未接受体检率没有统计学差异;被调查贫困农牧民两周患病率为26.1%,应就诊而未就诊率41.7%,两项数据女性均高于男性;应就诊而未就诊的主要原因有自感病轻、经济困难;贫困农牧民住院率为7.2%,应住院而未住院的主要原因是经济困难。贫困农牧民一般性疾病主要到村卫生进行诊疗,而住院病人一般到县级医院住院。贫困农牧民门诊、住院各项满意度指标均较高。结论:需改善农牧民经济状况,建立健全相关医疗保障制度,继续加强基层医疗卫生服务机构能力。

Objective To know about the hospital visit and satisfaction with medical treatment of Tibet poor farmers and herdsmen and to provide policy recommendations for the improvement of medical treatment. Methods Inventory survey was used to investigate the selected poor farmers and herdsmen with a self--administered questionnaire. Results The overall physical examination rate was 56 %. There was no statistic difference in the rate of population not undergo- ing physical examination among those with different educational levels. The two-- week prevalence rate was 26. 1%, and the rate of population who should consult a doctor yet did not was 41.7 %. Those phenomena were more common among females than males. The reasons for not consulting a doctor among the population who should were assumption of mild illness and poverty. The hospitalization rate of poor farmers and herdsmen was 7.2 %,and the main reason for not being hospitalized among the population who should be hospitalized was poverty. Outpatients mainly sought medi- cal help in village clinics, while inpatients were mainly treated in county hospitals. The rates of satisfaction with medical services in hoth clinics and hospitals were high. Conclusions The financial conditions of farmers and herdsmen should be improved, the relevant medical insurance system should be established and promoted and the capacity of primary health care and health service institutions should be strengthened.