甘肃社区居民急性胃肠炎患者就医行为分析

目的 研究甘肃省社区居民急性胃肠炎流行情况和患者就诊行为，为防控措施制定和合理配置卫生资源提供科学依据。方法 于2011年12月-2013年11月采用分层随机抽样方法调查社区居民4 229人，通过入户面对面访谈形式，运用标准化调查问卷收集调查信息。结果 社区居民急性胃肠炎加权月患病率为6.6%，患者服药率为94.7%，抗生素使用率为63.3%；患者就诊率为70.7%，城、乡就诊率分别为71.1%、69.8%，差异无统计学意义，男、女就诊率分别为88.4%、52.9%，差异有统计学意义（χ²=23.2，P<0.01）；患者主要选择二级综合医院就诊。结论 甘肃省社区居民急性胃肠炎患病率、就诊率、服药率、抗生素使用率相对较高，患者多选择二级综合医院就诊，社区卫生服务中心以及村卫生室就诊率较低。

Healthcare seeking behavior among acute gastrointestinal illness cases in community people of Gansu province

Objective To study the prevalence of acute gastrointestinal illness (AGI) and healthcare-seeking behavior of the AGI sufferers among community people in Gansu province for developing measures for prevention and control of the disease and optimizing healthcare resource allocation.Methods A face-to-face interview was conducted between 2011 and 2013 among 4 229 respondents recruited with cluster random sampling using a standardized questionnaire.Results The adjusted monthly prevalence rate of AGI was 6.6%.Among the AGI sufferers,the proportion of seeking healthcare was 70.7%;no regional difference (71.1% for urban and 70.7% for rural) but a significant gender difference (88.4% for the males and 52.9% for the females,χ²=23.2;P<0.01) in the proportion was observed.Of the AGI sufferers seeking healthcare,94.7% had medication;63.3% took antibiotics;and a majority of them chose second-level hospitals for medical service.Conclusion There are a relevant high AGI prevalence among community people and high proportions of seeking healthcare,taking medicine,and attending second-level hospitals other than community healthcare centers or village clinics among community AGI sufferers in Gansu province.