四川省农村贫困居民卫生服务利用及其影响因素分析  

ANALYSIS ON THE UTILIZATION AND INFLUENCE FACTORS OF THE HEALTH SERVICES OF RURAL POVERTY RESIDENTS IN SICHUAN

作　　者：唐秀娟[1] 张菊英[1] 葛杰[1] 力晓蓉[2] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]四川省医学情报研究所

出　　处：《现代预防医学》2008年第2期211-212,221,共3页Modern Preventive Medicine

基　　金：四川省卫生厅“卫生部第三次国家卫生服务调查”专项资助基金

摘　　要：[目的]了解四川省农村贫困居民卫生服务利用的一般情况并分析其影响因素。[方法]描述四川省农村贫困居民卫生服务利用的现状;拟合两水平二分类logistic回归模型探讨人群门诊服务利用的影响因素。[结果]贫困人口两周就诊率和未就诊率分别为274.06‰和37.13%,年内住院率和应住院未住院率分别为41.72‰和47.71%。贫困人口未就诊和未住院的主要原因为经济困难。影响两周患病就诊的主要因素有:医疗服务的可及性、自觉患病的严重程度、是否有医疗保险、主动获取保健知识、半年内是否患有慢性病以及年龄等。[结论]经济困难是导致农村贫困居民对卫生服务低利用的主要原因。[ Objective l To investigate the general situation of utihzing the health services of rural poverty residents in Sichuan, and analyze its influence factors. [ Methodsl This study had described the current situation of utilizing the health services of rural poverty residents in Sichuan; The influence factors of utilizing the out-patient service were analyzed by fitting two-level and two-category logistic regression. [ Results] The two-week consultation rate and non-consultation rate of rural poverty residents were 274.06%0 and 37.13vA, respectively. One-year hospitalization rate and the rate of persons not hospitalized who need to hospitalize were 41.72%o and 47.71%, respectively. The main reasons of non-consultation and non-hospitalized for these poverty residents were financial diffiulties. The mare reasons influencing two-week consultation were as follows： the accessibility of health service, the self-consciousness of disease severity, medical insurance status, the desire of acquiring health care knowledge, chronic diseases history in last 6 months, and age, et al. [ Conclusion ] Financial difficuhies are the main reason result in the low utilization of health service in rural poor people.

关 键 词：贫困人口 卫生服务利用 影响因素 两水平logistic回归模型 

分 类 号：R197.1[医药卫生—卫生事业管理]