杭州市城乡社区人群腹泻病发病及就诊情况调查

目的了解杭州市城乡社区人群腹泻病发病水平、就诊情况及医疗费用等。方法采取整群抽样的方法抽取上城区2个社区和萧山区3个乡镇居民作为调查对象,共4次入户调查了解其2周内腹泻病发生情况、就诊情况以及因腹泻病产生的各类医疗费用等。结果杭州市共调查了41496人,腹泻病年发病率为0.32次/人年,其中农村年发病率0.41次/人年,高于城市的0.23次/人年。7月和10月是腹泻病高发季节,5岁以下年龄组及55岁以上年龄组两周发病率较高。杭州市腹泻病的就诊率为31.01%,城乡差异无统计学意义,医疗治疗总费用人均为76.08元,报销费用占医疗就诊总费用的15.05%。结论杭州市腹泻病发病率较高,5岁以下儿童及老年人是高发人群,应进一步提高城乡居民患病后的就诊率。

A Survey on Incidence and Status of Health Seeking Behavior of Diarrhea among Urban and Rural Residents in Hangzhou City

Objective To study the incidence,health seeking behavior and medical cost of diarrhea among urban and rural residents in Hangzhou city so as to provide evidence for allocation of health resource as well as decision-making on health issues.Methods Multi-phases stratified random cluster sampling was used to select samples,and 4 communities in Shangchen district and 3 towns in Xiaoshan district were randomly selected as urban and rural study population,respectively.Data was collected on the incidence of diarrhea in the last two weeks as well as on the related cost due to medical care.Result 3423 families were surveyed of which,1898 from urban areas and 1525 from rural areas.The overall incidence(person per year) of diarrhea was 0.32,with 0.41 in the rural and 0.23 in the urban areas,respectively.July and October were the epidemical season for diarrhea.The incidence of diarrhea in population under 5 years old and above 55 years old was higher than others.The health seeking rate was 31.01% and there was no statistical difference between urban and rural residents.The average cost of medical treatment was 76.08 Yuan,and 15.05% of medical treatment expense was reimbursed by their medical insurance.Conclusion The incidence of diarrhea in Hangzhou city is higher than other areas.Children less than 5 and the elderly are higher risk groups of diarrhea.It is necessary to further improve the rate of health seeking behavior of diarrhea in urban and rural residents.