营山县贫困山区居民卫生服务需要和利用调查

目的了解贫困山区居民卫生服务需要和利用情况。方法随机抽取营山县的9个村的18岁以上的986名留守居民为调查对象,用自制问卷调查其健康状况及其卫生服务需要与利用状况。结果居民的两周患病率为49.7%,患者的两周就诊率为43.1%,50.1%的患者在个人诊所就诊;近一年的住院率为13.8%,需住院人数中未住院的人数占56.5%,57.4%的住院病人在乡镇卫生院住院;有21.7%的居民的医疗支出占家庭总支出的一半以上,91.9%的居民的医疗费用支出是自费的。结论营山县贫困山区居民的健康状况较差,医疗费用支出较大难以承受。

A Survey on the Need and Utilization of Health Service for Residents in Impoverished Mountainous Areas of Yingshan County

Objective To investigate the status of the need and utilization of health services in impoverished mountainous areas, Methods 986 stay-at-home residents aged over 18 years were randomly sampled from 9 villages in Yingshan county, and a self- administrated questionnaire was used for survey on their health status and their need and utilization of health services, Results The two-week prevalence of illness was 49, 7% , the two-week prevalence of medical consultation was 43.1% , and 50.1% of patients saw doctors in private clinics. The hospitalization rate during the past one year was 13.8% ; 56.5% of the patients who needed to stay in hospital did not do so, and 57.4% of hospitalized patients were in township health centers, The medical expenses in 21.7% of residents were over a half of their total household expenditure, and the expenses in 91.9% of residents were self-paid. Conclusion The health status of residents in the impoverished mountainous areas of Yingshan was poor, and it was difficuh for them to cover the medical expenses.