某地区军队人员健康状况调查分析

目的:调查我国东南地区某部军队人员的健康状况及其影响因素,为部队制订卫生服务保障计划提供依据.方法:采用多阶段分层整群随机抽样法在我国东南地区调查了2035名军队人员的两周患病及就诊、半年慢性病患病、住院等情况,由统一培训的调查员进行面对面询问调查.结果:2周内有25.26%军队人员患病.门诊服务利用主要集中在营卫生所、团卫生队及师医院,分别占45.86%、29.28%、8.29%.半年内慢性病患病率为8.30%.1年内有4.86%的军队人员住院治疗,住院服务利用主要集中在驻军医院,占住院总人数的54.72%.半年内牙病患病率为18.77%.入伍以来认为没有必要进行心理咨询的人员为70.12%.结论:军队人员卫生服务需求高于我国城市和农村居民.卫生管理机构应加大对基层部队卫生服务保障的力度,满足军队人员的卫生服务需求,同时应重视对军队人员口腔及心理疾病的防治.     

华东某地区军队人员两周患病情况及其影响因素分析

目的:调查华东某地区军队人员主要健康问题及其影响因素,探讨医疗服务的潜在需求.方法:采用多阶段分层整群抽样的方法对2300名军队人员进行健康询问调查,利用Logistic回归模型对军队人员两周患病情况和影响因素进行分析.结果:回收有效问卷2187份,有效率95.09%.该地区军队人员的两周患病率是25.88%(566/2187).两周患病的主要疾病构成为感冒(39.79%)、腰腿痛(18.65%)、胃痛(16.30%)、训练伤(2.94%),其他(22.32%).Logistic回归结果表明,心理压力是影响两周患病的最主要因素标准偏回归系数为0.203 1,优势比(OR)为1.403,年购药自付费用＞100元、年龄55岁及以上、离退休干部、团以下干部和陆军兵种等因素对两周患病有较大影响.结论:应重视部队心理健康教育和基层团以下干部的健康问题,加大健康教育的力度,改善军队人员的健康状况,确保部队战斗力.     

武当山镇农村居民医疗服务需求与利用分析

目的 :调查武当山镇农村居民医疗服务需求、利用情况。方法 :采用分层整群随机抽样的方法 ,对家庭内的所有成员进行卫生服务问卷调查 ,共调查 80 8人。结果 :武当山镇农村居民的两周就诊率为 19.4 % ,高于 1998年全国农村平均水平 ;两周患病在乡村两级医疗机构就诊的人员占患者总数的 90 % ,慢性病患病者在乡村两级医疗机构就诊的人员占 70 %。结论 :武当山镇农村居民患病就诊主要在村、乡两级医疗机构。建议当地卫生行政部门加强社区卫生服务建设 ,结合实际推行新型合作医疗。     

多分类Logistic回归分析研究军队人员就诊意向的影响因素

目的:寻求影响军队人员最愿意就诊单位选择的主要因素,为军队卫生资源的优化配置和卫生事业改革政策的制订提供科学依据.方法:采用多分类Logistic回归分析法,分析影响军队人员选择最愿意就诊单位的主要因素.结果:影响军队人员选择就诊单位的主要因素是军兵种和工作性质,其次是对部队医疗机构供药满意度和健康状况.结论:军队人员就诊单位选择受多种因素的影响,建议加强基层卫生机构建设,提高其卫生资源利用效率.     

梁山县农民门诊服务利用及其影响因素

目的了解梁山县农村居民门诊服务利用。方法采用分层整群抽样的方法,抽取5870名农民进行家庭卫生健康问卷调查。描述农村居民的卫生服务需求和利用情况,分析影响农村居民门诊服务利用的影响因素。结果梁山县2周患病率130.83‰,2周就诊率和未就诊率分别为120.78‰和15.89%,年龄等因素对2周患病及2周就诊率有影响。结论梁山县农民的卫生服务可及性较好,但其利用率相对较低。     

某市15～24岁青年流动人口卫生服务利用及其影响因素

目的:调查青年流动人口卫生服务利用情况并分析其影响因素。方法:采取分层整群随机抽样的方法,抽取960位15～24岁青年流动人口进行问卷调查;应用卡方检验、t检验和非条件Logistic回归分析流动人口卫生服务利用的影响因素。结果:青年流动人口的两周患病率、两周就诊率、应就诊而未就诊率和年住院率分别为10.09%、7.91%、21.59%和1.83%,次均门诊费用和人均住院费用分别为359.54元和4 599.71元;非条件Logistic回归分析发现婚姻状况、有无医疗保险、两周患病情况和在当地打工时间是影响青年流动人口卫生服务利用的主要因素。结论:青年流动人口的卫生服务利用不足,尤其是预防保健服务利用和住院服务利用;应不断完善针对流动人口的医疗保障体系,充分发挥社区卫生服务机构的作用,以提高青年流动人口的卫生服务水平。     

北京市朝阳区老年人门诊服务利用调查分析

目的:对北京市朝阳区2101名60岁及以上老年人的门诊服务利用状况及其影响因素等进行了研究,为制订社区老年保健服务计划提供参考.方法:利用入户调查资料,用描述性方法和二项式Logistic回归进行分析.结果北京市朝阳区老年人两周就诊率493 6‰,两周就诊疾病主要是慢性病(83.8%),前三位两周就诊疾病分别为高血压病、脑血管病和糖尿病.二项式Logistic 回归分析发现老年人两周就诊率的影响因素是两周患病情况、以往工作类型、健康自我评价、医疗保障形式和年龄;两周患者未就诊率53.79%.因此,门诊机构要针对老年人就诊疾病的特点提供相应的医疗服务.     

2004年兵团城市和农场居民门诊医疗服务利用分析

目的:了解兵团居民的门诊医疗服务利用情况.方法:利用2004年兵团卫生服务家庭入户调查资料.结果:2004年兵团2 153名病人中去医疗机构就诊的占33.0%,自我医疗占56.5%,未采取任何治疗措施占10.5%.兵团居民两周就诊率为84.4‰,城市为89.8‰,农场为82.3‰,经统计学检验,χ2=1.956,df=1,P=0.162,差异无统计学意义.兵团调查居民两周患病未就诊率为68.5%,城市为68.9%,农场为68.3%.城市和农场居民未就诊率比较χ2=0.102,df=1,P=0.749,差异无统计学意义.两周未治疗主要原因中经济困难占36.7%(城市占33.0%、农场占39.5%).结论:兵团城市和农场居民门诊利用下降明显,有效需求发生较大转移,居民选择自我医疗替代门诊服务.     

重庆市居民2周患病未治疗行为及影响因素研究

目的:研究重庆居民2周患病未治疗的情况及影响因素.方法:利用2008年卫生服务调查的家庭健康询问调查数据,以年龄、家庭经济水平、教育、到医疗机构时间、医疗保险、疾病严重程度、疾病发生时间、地区等指标,分析评价重庆2周病伤患者的治疗行为及影响因素.结果:重庆市未就诊的两周病伤患者44.81%采取按照医生处方进行自我治疗;年龄,家庭经济状况,2周病伤严重程度,慢病和城乡差异是居民患病而未治疗的影响因素.结论:为满足居民的医疗卫生服务需求,应完善基层医疗机构的建设,实行全民医保和贫困医疗救助,重视中青年健康隐患,进行健康教育和用药指导,提倡良好的生活行为方式.     

南方军队人员卫生服务需要及利用抽样调查分析

目的:研究我国南方军队人员卫生服务需要和利用的基本情况和特点. 方法:采用多阶段分层整群随机抽样法在我国南方某地区调查了2100名军队人员. 采用SPSS 11.0软件对调查数据进行统计分析. 结果:干部2 wk患病率及半年慢性病患病率显著高于战士(χ22 wk=17.79,P<0.01;χ2慢性=63.64,P<0.01). 军队人员2 wk患病以呼吸系统疾病为主;慢性病以消化系统疾病为主. 干部和战士2 wk患病未就诊率差异具有显著统计学意义(χ2=11.38,P<0.01);住院服务利用干部显著高于战士,差异具有统计学意义(χ2=10.50,P<0.01). 结论:军队人员的卫生服务需要及门诊、住院服务利用高于全国居民;在加强对军队人员的健康教育和做好防治常见病工作的同时,应重视对军事训练伤的防治.     

北京市不同居住时间的农村流动人口门诊服务利用状况及其影响因素

目的：研究北京市不同累计居住时间的农村流动人口门诊服务利用状况及其主要影响因素。方法：利用2014年北京市农村流动人口健康与卫生服务调查数据,以18岁及以上农村流动人口为研究对象,以两周内是否利用门诊服务为因变量,以性别、年龄、文化程度、社会经济地位自评分、在京累计居住时间、社会医疗保险（简称：医保）状况、家庭人均月收入和是否患有高血压或糖尿病为自变量,采用Logistic回归模型进行影响因素分析。结果：研究对象平均年龄36.7岁,多为中等学历,平均在京累计居住时间为8.4年,两周患病率为10.3%,按就诊人次计算的两周就诊率为6.0%。Logistic回归结果表明,社会经济地位自评分、累计居住时间和是否患有高血压或糖尿病对门诊服务利用的影响有统计学意义。结论：研究对象是一个较为年轻、健康状况较好的人群,门诊服务利用率较低。在京累计居住时间较长的流动人口门诊服务利用率较低,主要是因为年龄标化后的两周患病率有随居住时间增加而降低的趋势,以及居住时间较长者患病后遵医嘱持续治疗的比例较高。居住时间变量在研究中具有代理变量的作用,综合反映了那些随居住时间变化却未被纳入模型的因素对门诊服务利用的影响。     

从非战争军事行动卫勤保障特点论军队卫勤人员能力培养

目的探讨新形势下应对非战争军事行动的军队卫勤人员能力培养途径。方法着眼非战争军事行动卫勤保障特点,探讨新军事变革条件下军队卫勤人员能力培养及注意事项。结果通过灾害医学教育、卫生防疫教育、信息技能教育提升军队卫勤人员的卫勤机动能力、综合救治能力、心理救援能力、装备使用能力和联合指挥能力。结论军队卫勤人员要针对非战争军事行动卫勤保障的特点与规律,坚持以任务保障为牵引,立足实际,全面提升综合保障能力。     

舟山地区部队官兵健康状况的现况调查

目的了解舟山地区部队官兵的健康状况及影响因素。方法运用整群抽样方法,采用自行设计的健康调查表进行问卷调查与分析,调查表含有与血液系统及消化系统疾病相关的20项自觉症状。结果调查表所列的20项自觉症状在舟山地区接受调查的444名部队官兵中均可见,但发生率不同,最常见的自觉症状为烦躁、乏力、情绪低落、头晕、失眠和精神紧张,发生率分别为73.9%、67.6%、63.5%、61.0%、54.1%和54.1%。不同军种官兵的烦躁、乏力、情绪低落、头晕、失眠和精神紧张发生率各不相同,差异有统计学意义（P〈0.05）;不同服役年限官兵的烦燥、失眠、精神紧张发生率不同（P〈0.05）。将军种、服役期限作为影响因子进行多因素分析,结果显示烦躁、乏力、情绪低落、头晕、失眠和精神紧张等自觉症状的主要影响因素为军种（P〈0.05）。结论舟山地区部分官兵的健康状况存在问题,主要影响因素为军种,应当针对不同军种的训练、生活特性,有的放矢地开展健康教育及健康体检工作。     

基于真实世界数据的成年人社区卫生服务机构就诊频次特征及其影响因素研究

背景　“就诊频次”是真实反映患者对医疗机构利用情况的重要数据，但国内相关研究较少，且未对“就诊频次”反映出来的就诊行为与签约服务的关系进行研究。目的　通过真实世界数据，分析城市基层门诊服务签约/非签约患者的就诊频次特征，以及影响签约患者就诊频次的因素，以期识别不同特征的患者对基层医疗资源利用的倾向性和影响因素，帮助家庭医生团队更好地投入资源，与患者建立更为稳定的服务关系。方法　于2021年1月，通过居民健康信息中心，脱敏患者身份、联系方式和具体疾病诊断信息后，提取成都市武侯区13家社区卫生服务中心及其下属18个服务站自2020-01-01至2020-12-31的门诊患者就诊行为和签约状态数据，分析患者就诊频次及其影响因素。结果　共获取2020年在社区卫生服务机构就诊的300 634例成年人的数据，产生了1 243 436次门诊记录，平均就诊年龄（51.5±18.4）岁，平均就诊频次（4.14±5.94）次。仅有9 448例（3.14%）患者会产生跨社区卫生服务机构就诊行为，其中签约患者中仅有17人。在社区卫生服务机构就诊的成年人中34.73%（104 399/300 634）为签约患者，总门诊人次中63.91%（794 710/1 243 436）为签约患者就诊。86.04%（168 840/196 235）的非签约患者为偶发就诊，69.93%（137 229/196 235）病情相对简单；52.30%（55 812/104 399）的签约患者为持续管理就诊，29.90%（31 211/104 399）病情相对简单。以人数计算，签约患者主动预约到诊率为40.29%（42 061/104 399），固定就诊率为37.86%（39 522/104 399）；以频次计算，签约患者主动预约到诊率为18.58%（147 685/794 710），固定就诊率为18.12%（144 009/794 710）。签约患者与非签约患者年龄、就诊频次、接受中医服务人数、特殊门诊就诊人数、就诊频次、诊断复杂程度比较，差异有统计学意义（P<0.05）。有序多分类Logistic回归分析结果显示：病情复杂程度、是否主动预约到诊、是否固定就医、是否利用中医服务、年龄、是否在特殊门诊就诊、签约所在机构和医生签约人群规模是患者就诊频次的影响因素（P<0.05）。结论　成都市武侯区签约患者与家庭医生已建立了较稳定的服务关系。要更好地发挥社区卫生服务机构的签约服务功能：一方面可以从频繁及异常频繁就诊、中医利用度高、特殊门诊就诊这几个特征的非签约患者入手提高签约数量；另一方面可根据签约患者的影响因素特征，通过绩效考核指标的调整，进一步将签约患者就诊频次控制在合理的互动区间，以进行科学的持续管理。     

江西省两县级市中医药健康服务供给及机构发展现状调查

目的 调查县域中医药健康服务发展现状及问题,促进中医药健康服务业的发展。 方法 以2017年江西省A、B两县级市的中医养生保健服务机构和中医药健康服务支撑产业为研究对象,以A、B两县级市街道为单位,首先按照企业规模、企业类型进行分层,然后采用整群分层抽样法,以1∶15的比例抽取两市中医养生保健服务机构105家,中医药健康服务支撑产业38家,并对其服务人数、机构面积、收入成本、服务人员等数据进行描述性分析。运用SPSS 25.0软件进行描述性统计分析,分析各指标间的最大值、最小值、中位数和上下四分位数。 结果 A市和B市中医养生保健服务的发展状况较好,但A、B两市医疗与非医疗机构中的中医养生保健服务市场有差异性,中药材产业发展规模和中医诊疗设备产业具有较大的合作发展潜力;A、B两市分别有87.2%、92.0%的企业表示人才引进存在困难,主要原因为:A市为求职者对薪酬期望过高(88.24%)、中医类人才总量不足(70.59%)、职位发展空间受限(52.94%);B市为中医类人才总量不足(94.12%)、求职者薪酬期望过高(76.47%)、企业地理位置因素(52.94%)。 结论 中医养生保健服务机构优势互补,中医药健康服务支撑产业多元发展,但中医类服务人员增量不足,加快中医类人才培养是促进中医药健康服务业发展的重要举措。      

The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002

Background Previous studies have noted that there is a high utilization rate of traditional Chinese medicine (TCM) services in Taiwan, China and in western countries, but few studies investigated factors associated with the utilization of TCM in Taiwan. This study analyzes the utilization rate and the factors associated with the utilization of TGM in Taiwan. Methods Data for this study were from the 2002 HPKAP Survey that conducted the face-to-face questionnaire interviews of people aged 15 years and over from October 2002 to March 2003 in Taiwan. This study analyzed the utilization of TCM outpatient services, including admission to the hospital and clinic visits. Results A total of 26 755 participants completed the survey in the six-month period. The data revealed that 10.4% of participants had utilized TCM services in the past one month while 4.2% of participants utilized TCM only (without using Western medicine outpatient services (WM) or Folk therapy (F'I')). The average visits of TCM services per patient was higher among people who had utilized TCM and FT services (2.68 visits) than among those who had utilized WM and FT services (2.15 visits) or TCM services alone (2.15 visits) during the previous one month. Younger people (odds ratio OR= 1.78, 95%C/= 1.47-2.16), women (compared with men), and people with higher education levels (OR = 1.58, 95%CI =1.25-1.98) were more likely to visit TCM than compared groups. People with self-reported poor health status (OR = 2.07,95%CI = 1.76-2.44) and people who exercise regularly (OR = 1.17, 95%CI = 1.07-1.27) had higher ORs to visit TCM service than comparison group.Conclusions There is a high utilization of TCM in Taiwan. Further studies are needed to investigate the related factors and determinants between the utilization of TCM and the utilization of FT in Taiwan.     

The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002

Background Previous studies have noted that there is a high utilization rate of traditional Chinese medicine (TCM) services in Taiwan, China and in western countries, but few studies investigated factors associated with the utilization of TCM in Taiwan. This study analyzes the utilization rate and the factors associated with the utilization of TGM in Taiwan. Methods Data for this study were from the 2002 HPKAP Survey that conducted the face-to-face questionnaire interviews of people aged 15 years and over from October 2002 to March 2003 in Taiwan. This study analyzed the utilization of TCM outpatient services, including admission to the hospital and clinic visits. Results A total of 26 755 participants completed the survey in the six-month period. The data revealed that 10.4% of participants had utilized TCM services in the past one month while 4.2% of participants utilized TCM only (without using Western medicine outpatient services (WM) or Folk therapy (F'I')). The average visits of TCM services per patient was higher among people who had utilized TCM and FT services (2.68 visits) than among those who had utilized WM and FT services (2.15 visits) or TCM services alone (2.15 visits) during the previous one month. Younger people (odds ratio OR= 1.78, 95%C/= 1.47-2.16), women (compared with men), and people with higher education levels (OR = 1.58, 95%CI =1.25-1.98) were more likely to visit TCM than compared groups. People with self-reported poor health status (OR = 2.07,95%CI = 1.76-2.44) and people who exercise regularly (OR = 1.17, 95%CI = 1.07-1.27) had higher ORs to visit TCM service than comparison group.Conclusions There is a high utilization of TCM in Taiwan. Further studies are needed to investigate the related factors and determinants between the utilization of TCM and the utilization of FT in Taiwan.     

The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002

Background Previous studies have noted that there is a high utilization rate of traditional Chinese medicine (TCM) services in Taiwan, China and in western countries, but few studies investigated factors associated with the utilization of TCM in Taiwan. This study analyzes the utilization rate and the factors associated with the utilization of TGM in Taiwan. Methods Data for this study were from the 2002 HPKAP Survey that conducted the face-to-face questionnaire interviews of people aged 15 years and over from October 2002 to March 2003 in Taiwan. This study analyzed the utilization of TCM outpatient services, including admission to the hospital and clinic visits. Results A total of 26 755 participants completed the survey in the six-month period. The data revealed that 10.4% of participants had utilized TCM services in the past one month while 4.2% of participants utilized TCM only (without using Western medicine outpatient services (WM) or Folk therapy (F'I')). The average visits of TCM services per patient was higher among people who had utilized TCM and FT services (2.68 visits) than among those who had utilized WM and FT services (2.15 visits) or TCM services alone (2.15 visits) during the previous one month. Younger people (odds ratio OR= 1.78, 95%C/= 1.47-2.16), women (compared with men), and people with higher education levels (OR = 1.58, 95%CI =1.25-1.98) were more likely to visit TCM than compared groups. People with self-reported poor health status (OR = 2.07,95%CI = 1.76-2.44) and people who exercise regularly (OR = 1.17, 95%CI = 1.07-1.27) had higher ORs to visit TCM service than comparison group.Conclusions There is a high utilization of TCM in Taiwan. Further studies are needed to investigate the related factors and determinants between the utilization of TCM and the utilization of FT in Taiwan.     

The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002

Background Previous studies have noted that there is a high utilization rate of traditional Chinese medicine (TCM) services in Taiwan, China and in western countries, but few studies investigated factors associated with the utilization of TCM in Taiwan. This study analyzes the utilization rate and the factors associated with the utilization of TGM in Taiwan. Methods Data for this study were from the 2002 HPKAP Survey that conducted the face-to-face questionnaire interviews of people aged 15 years and over from October 2002 to March 2003 in Taiwan. This study analyzed the utilization of TCM outpatient services, including admission to the hospital and clinic visits. Results A total of 26 755 participants completed the survey in the six-month period. The data revealed that 10.4% of participants had utilized TCM services in the past one month while 4.2% of participants utilized TCM only (without using Western medicine outpatient services (WM) or Folk therapy (F'I')). The average visits of TCM services per patient was higher among people who had utilized TCM and FT services (2.68 visits) than among those who had utilized WM and FT services (2.15 visits) or TCM services alone (2.15 visits) during the previous one month. Younger people (odds ratio OR= 1.78, 95%C/= 1.47-2.16), women (compared with men), and people with higher education levels (OR = 1.58, 95%CI =1.25-1.98) were more likely to visit TCM than compared groups. People with self-reported poor health status (OR = 2.07,95%CI = 1.76-2.44) and people who exercise regularly (OR = 1.17, 95%CI = 1.07-1.27) had higher ORs to visit TCM service than comparison group.Conclusions There is a high utilization of TCM in Taiwan. Further studies are needed to investigate the related factors and determinants between the utilization of TCM and the utilization of FT in Taiwan.     

The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002

Background Previous studies have noted that there is a high utilization rate of traditional Chinese medicine (TCM) services in Taiwan, China and in western countries, but few studies investigated factors associated with the utilization of TCM in Taiwan. This study analyzes the utilization rate and the factors associated with the utilization of TGM in Taiwan. Methods Data for this study were from the 2002 HPKAP Survey that conducted the face-to-face questionnaire interviews of people aged 15 years and over from October 2002 to March 2003 in Taiwan. This study analyzed the utilization of TCM outpatient services, including admission to the hospital and clinic visits. Results A total of 26 755 participants completed the survey in the six-month period. The data revealed that 10.4% of participants had utilized TCM services in the past one month while 4.2% of participants utilized TCM only (without using Western medicine outpatient services (WM) or Folk therapy (F'I')). The average visits of TCM services per patient was higher among people who had utilized TCM and FT services (2.68 visits) than among those who had utilized WM and FT services (2.15 visits) or TCM services alone (2.15 visits) during the previous one month. Younger people (odds ratio OR= 1.78, 95%C/= 1.47-2.16), women (compared with men), and people with higher education levels (OR = 1.58, 95%CI =1.25-1.98) were more likely to visit TCM than compared groups. People with self-reported poor health status (OR = 2.07,95%CI = 1.76-2.44) and people who exercise regularly (OR = 1.17, 95%CI = 1.07-1.27) had higher ORs to visit TCM service than comparison group.Conclusions There is a high utilization of TCM in Taiwan. Further studies are needed to investigate the related factors and determinants between the utilization of TCM and the utilization of FT in Taiwan.