少数民族地区农村居民卫生服务需求与利用分析(国家第三次卫生服务调查西部扩点四川调查课题组)

目的：通过对少数民族地区农村卫生服务需求与利用分析,为政府卫生资源配置提供依据.方法：分阶段分层整群随机抽样调查.结果：少数民族地区居民潜在健康需求较大,尤其是传染病问题突出;低门诊利用、高门诊费用、高住院利用是少数民族地区卫生服务利用的主要特点;妇幼卫生工作基础薄弱,预防保健服务利用有待改善.建议：加大公共卫生投入,突出抓好传染病的防治;注重乡村两级卫生机构建设,提高门诊服务可及性;充分利用资源,加强预防保健工作.

Residents Demands and Utilization of Health Service in Rural minority Areas

Objectives. Through analyzing residents' demands and utilization of health service in rural minority areas, some references are supplied to government for distribution of health resources. Methods. The survey was conducted according to multi-stage stratified cluster sampling method. Results. The residents' potential health demands in rural minority areas were lager. Especially the problem of communicable diseases was outstanding. Low utilization of outpatient, high outpatient expense, and high utilization of hospitalization were main features of utilization of health service in rural minority areas. The basis of maternal and children health care was weak. The utilization of prevention and health care is under improvement. Suggestions. Investment on public health should be strengthened. Communicable diseases prevention and treatment should be done well. Construction of township and village health institutions should paid attention to for improving the accessibility of outpatient. Health resources should be made full use of to strengthen prevention and health care work.