| 中国西部农村地区某县孕产期保健利用现状及对策研究 |
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| 引用本文： | 曾缓,王宏,唐晓君,龙敏,林长坡,雷迅,曹冰,汪洋.中国西部农村地区某县孕产期保健利用现状及对策研究[J].华中科技大学学报(医学版),2011,40(4):497-501. |
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| 作者姓名： | 曾缓 王宏 唐晓君 龙敏 林长坡 雷迅 曹冰 汪洋 |
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| 作者单位： | 1. 重庆医科大学公共卫生与管理学院,重庆,400016
2. 重庆市荣昌县妇幼保健院,重庆荣昌县,402460 |
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| 基金项目： | 欧洲联盟课题研究基金资助项目 |
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| 摘 要： | 目的了解西部农村地区某县妇女孕产期保健利用现状及影响因素。方法对544名妇女进行问卷调查,对44名卫生服务管理者/供者以及42名妇女进行访谈。结果 70.6%的孕产妇参加了新型农村合作医疗(新农合),32.9%获得报销,未获报销的66.0%是因为超生。新农合缓解了具有产科危重症或并发症的孕产妇的经济负担。流动人口的报销手续复杂。卫生人力资源主要分布在县医院和妇幼保健院,在乡镇卫生院,中专以下学历占1/4。2005年至2008年的保健总收入中,政府拨款仅占妇幼保健总收入的5.0%。近1/5妇女的孕产期保健总费用超过家庭年收入的20%。选择县级医院、乡镇卫生院分娩的分别占39.8%和58.6%,服务质量和交通方便是选择的主要原因。偏远山区交通不便影响地理可及性。"坐月子"、重男轻女、为挑时辰而择时剖宫产、"方音岛"现象阻碍了孕产妇保健利用。结论新农合政策在一定程度上提高了该地区的孕产期保健的服务利用度,偏远乡镇的地理可及性亟须提高。目前尚有多种社会文化因素制约孕产妇保健利用。
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| 关 键 词： | 孕产期保健 卫生服务 新型农村合作医疗制度 农村地区 |
Status and Strategy of Maternal Health of Women in a Rural County of Western China |
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| Zeng Huan,Wang Hong,Tang Xiaojun et alSchool of Public Health , Management,Chongqing Medical University,Chongqing ,China.Status and Strategy of Maternal Health of Women in a Rural County of Western China[J].Journal of Huazhong University of Science and Technology(Health Sciences),2011,40(4):497-501. |
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| Authors: | Zeng Huan Wang Hong Tang Xiaojun School of Public Health Management Chongqing Medical University Chongqing China |
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| Institution: | Zeng Huan,Wang Hong,Tang Xiaojun et alSchool of Public Health and Management,Chongqing Medical University,Chongqing 400016,China |
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| Abstract: | Objective To describe the status of women's maternal health care use and its influencing factors in Western China.Methods 544 women have been investigated by questionnaire,44 health providers and 42 women have been interviewed to collect data.Results 70.6% participated in local New Rural Cooperative Medical Scheme(NRCMS)in this area,only 32.9% got reimbursement,and 66.0% haven't got it because of family planning policy.The NRCMS was important for women in emergency or with severe complications.Reimbursement... |
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| Keywords: | maternal health care health service New Rural Cooperative Medical Scheme rural area |
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