2004年兵团城市和农场居民门诊医疗服务利用分析  

Analysis on medical service utilization of urban and rural outpatients in Xinjiang Production and Construction Corps

作　　者：秦江梅[1] 王国建[2] 殷泰平[2] 刘佳铭[1] 唐景霞[1] 王秀梅[1] 芮东升[1] 张翼华[1] 徐上知[1] 陈波[1] 

机构地区：[1]石河子大学医学院预防医学系,新疆石河子832002 [2]新疆生产建设兵团卫生局,新疆乌鲁木齐830001

出　　处：《农垦医学》2006年第6期445-448,共4页Journal of Nongken Medicine

基　　金：兵团卫生局资助课题-兵团第二次卫生服务总调查

摘　　要：目的:了解兵团居民的门诊医疗服务利用情况。方法:利用2004年兵团卫生服务家庭入户调查资料。结果:2004年兵团2 153名病人中去医疗机构就诊的占33.0%,自我医疗占56.5%,未采取任何治疗措施占10.5%。兵团居民两周就诊率为84.4‰,城市为89.8‰,农场为82.3‰,经统计学检验,χ2=1.956,df=1,P=0.162,差异无统计学意义。兵团调查居民两周患病未就诊率为68.5%,城市为68.9%,农场为68.3%。城市和农场居民未就诊率比较χ2=0.102,df=1,P=0.749,差异无统计学意义。两周未治疗主要原因中经济困难占36.7%(城市占33.0%、农场占39.5%)。结论:兵团城市和农场居民门诊利用下降明显,有效需求发生较大转移,居民选择自我医疗替代门诊服务。Objective: The paper reflected medical services utilization of outpatients.Methods:Using Corps Second Health Service households survey data.Results:The percentage of medical treatment accounted for 33.0% in the total number of patients in corps,self-treatment was 56.5%,no receive any treatment was 10.5%.Outpatients visits rate was 84.4‰ during two weeks,in which the visit rate of urban patients was 89.8‰ and that of rural patients was 82.3‰,there was no significant between the urban and rural patients(χ2=1.956,df=1,P=0.162).The rate of no clinical visits of patients was 68.5% during two weeks,in which no clinical visit rate of urban patients was 68.9% and that of rural residents was 68.3%,there were no significant between the urban and rural patients.The main reason for no receive any treatment was financial difficulties,which took 36.7%,33.0% in city and 39.5% in farm.Conclusion:The medical service utilization obviously declined.Great changes taken place as to the corps residents'valid demand for medical services.

关 键 词：门诊医疗服务利用 两周就诊率 未就诊率 

分 类 号：R735.1[医药卫生—肿瘤]