拉萨市农牧区居民卫生服务需要与利用调查

目的:了解拉萨市农牧区居民卫生服务需要、利用情况。方法:采用整群随机抽样,对3 577名农牧民进行调查。结果:拉萨市农牧区两周患病率为18.9%,慢性病患病率为14.3%,患病率最高的前5种慢性疾病为高血压、心脏病、关节炎、慢性胃病和肺炎;两周患病未就诊率为11.4%。影响两周患病率的因素为性别、年龄和文化程度。结论:拉萨市所属两个县牧区居民医疗服务需量大,相关部门应加强基层医疗机构能力建设,关注妇女、老年人健康,加大健康教育力度,改善居民健康水平。

A Survey on the Health Service Demand and Utilization of the Agricultural and Nomadic Residents in Lhasa Municipality

Objectives: To understand the health service demand and utilization of the agricultural and nomadic residents in Lhasa municipality.Method: Cluster random sampling was used in the survey.Total 3 577 agricultural and nomadic residents have been surveyed.Results: The two-week morbidity rate is 18.9%.The chronic disease rate is 14.3%.The top 5 chronic diseases in the rank are hypertension,heart disease,arthritis,chronic gastric disease and pneumonia.The rate of patients without physician contact within two weeks is 11.4%.Factors affecting two-week morbidity include sex,age and level of education.Conclusion: The demand for health services in the agricultural and nomadic areas of Lhasa Municipality is significant.The relevant departments should strengthen the capacity of the lower level medical agencies,with more focus on women and aged population.Meanwhile,health education should be further strengthened.It is envisaged that the people’s health level can be improved through these efforts.