贵阳市马王社区流动和户籍产妇社区卫生资源利用现状比较分析

摘要:目的　了解贵阳市马王社区流动产妇和户籍产妇的社区卫生保健现状并进行比较分析，以期通过提高社区卫生资源的利用，实现提高流动产妇的保健水平。方法　对社区内178名流动产妇和216名户籍产妇的一般情况、孕期保健情况、分娩情况、社区卫生资源利用情况、社区卫生保健知晓途径和社区卫生资源利用障碍原因等进行调查比较分析。结果　流动产妇的文化程度、就业情况、家庭收入、产前检查人数、初检时间、孕检次数、医院分娩率、产妇保健手册建册率、社区医疗机构检查率、产后入户访视率均低于户籍产妇，但分娩顺产率高于户籍产妇，差异有统计学意义（P＜0.05）。流动产妇社区卫生服务资源利用障碍原因依次为不知道、非计划性怀孕、返乡或搬迁频繁、担心经济费用、不需要保健、没时间或其他原因和找不到社区卫生机构。结论　流动产妇社区卫生服务资源利用率低于户籍产妇，通过提高流动产妇社区卫生资源的利用，以期实现提高流动产妇的保健水平。

Comparison of utilization for community health resources in floating and resident population of parturient women of Mawang Community,Guiyang

Abstract: Objective To investigate and compare the present status of health care of parturient women in floating and resident population of Mawang Community in Guiyang, in order to achieve the high level of health care towards parturient women by improving the utilization of community health resources. Methods We investigate, compare and analyze the general state, the level of health care for parturient women, delivery conditions, the utilization of community health resources, the ways to acquire community health care knowledge and the utilization obstacles of community health resources regarding to 178 floating women and 216 resident women. Results Compared with resident group, some factors of floating women were lower, including the educational level, the employment rate, the household income, the frequency of prenatal examination, the initiate examination for parturient women, the frequency of pregnancy testing, the rate of parturient women hospital delivery, the rate of building care manual, the rate of examination in community hospital, the rate of postpartum home visit (family follow-up), but the rate of natural labor was significantly higher. Those differences were statistically significant (P<0.05). The main reasons for utilization obstacles of community health resources were in turn unaware of the service, unplanned pregnancy, returning home or migrating frequently, concerning about expense, no care service demands, time limits or other reason, as well as having difficulty of finding community health agencies. Conclusion The utilization rate of community health resources in floating parturient women is lower than that in resident parturient women. Therefore, the high level of health care for parturient women will be achieved by improving their utilization of community health resources.