摘要
目的:通过对居民卫生服务需要与利用情况及其影响因素进行探讨,为各级卫生决策部门提供卫生服务的政策支持。方法:在所调查区域分层整群抽样,问卷访谈获得样本信息,统计学分析方法主要采用非条件logistic回归和卡方检验。结果:被调查居民两周患病率为11.70%,影响两周患病的因素有年龄、婚姻状况和是否在业(P<0.05);慢性病患病率为10.02%,年龄、是否就业和医疗保障因素与慢性病的发生有关联(P<0.05);居民两周患病就诊率为86.16%,住院率为7.14%。结论:相对于全国第4次卫生服务调查的结果,本区居民健康状况较好,对卫生服务的利用率也较高,可针对分析结果的重点人群提高卫生服务的效率,并引导居民更多的使用除医疗服务之外的公共卫生服务。
Objective To study the status of health services need and utilization and its influencing factors, and provide policy support for the governmental decision-making of health services. Methods Samples were chosen with stratified cluster sampling method and surveyed with self- designed questionnaires. Data was analyzed by unconditional logistic regression method and chi- square test. Results The residents＇ two-week prevalence was 11.70%, which was significantly influenced by factors of age, marital status and employment （ P 〈 0.05 ）. The prevalence of chronic illnesses was 10.02%, which was significantly related with age, employment and medical insurances. The outpatient rate in the latest two weeks was 86.16%. And the hospitalization rate was 7. 14%. Conclusion The residents＇ health condition was better than the result of the fourth national health services survey in China. And their utilization rate of health services was higher. However, the efficiency of health services can be improved by focusing on concerned people and guiding general people into utilize the public health services.
出处
《中国卫生事业管理》
北大核心
2015年第8期629-631,634,共4页
Chinese Health Service Management
基金
国家自然科学基金项目"基于地理信息系统嵌套元胞自动机模型对艾滋病流行趋势的模拟研究"(编号:81001295)
四川省教育厅人文社科重点研究基地四川省社会学与性教育研究中心项目"基于FSW社会网络的艾滋病干预研究"(编号:XXJYB1301)
四川省哲学社会科学重点研究基地四川应用心理学研究中心科研项目"MSM人群社会心理状况影响因素决策树分析"(编号:CSXL-122017)
