西部地区农村居民两周患病未就诊及影响因素分析  

ANALYSIS OF THE NON-VISITING A DOCTOR WITHIN TWO-WEEKS OF RURAL RESIDENTS AND ITS INFLUENCING FACTORS IN WESTERN CHINA

作　　者：漆光紫[1] 黄高明[1] 谢平[2] 郭宇莎[1] 王盛[2] 

机构地区：[1]广西医科大学公共卫生学院,南宁530021 [2]广西壮族自治区卫生厅

出　　处：《现代预防医学》2008年第16期3088-3089,共2页Modern Preventive Medicine

基　　金：2006年广西壮族自治区人民政府重大课题研究资助项目(合同编号:0606)

摘　　要：[目的]了解西部地区农村居民两周患病未就诊情况及影响因素,为做好农村卫生服务工作提供参考依据。[方法]采用多阶段整群随机抽样方法对广西54乡镇的5912名农村居民进行问卷调查。[结果]农村居民自己两周患病率为19.63%,患病未就诊为72.44%,均高于全国同类地区平均水平。非条件Logistic回归结果表明:年龄和农民是否参加新农合对农村居民未就诊有统计学意义(P≤0.001)。[结论]西部地区农村居民对卫生服务的需要量较高,但需求却很低,年龄和农民是否参加新农合是农村居民两周患病未就诊的主要影响因素。[Objective] To investigate the status of non-visiting a doctor within two weeks of rural residents and its influencing factors in western China, so as to provide reference for better earrying out rural health service. [Methods] 5 912 rural residents in 54 townships of Guangxi were investigated with questionnaires by multi-stages cluster random sampling method. [Results ] The two-week consultation rate and non-consultation rate of rural residents were 19,63% and 72.44%, respectively, which were higher than the average level of the similar areas of China. The unconditional logistic regression analysis showed that age and whether the rural residents participated in the new rural medical cooperative scheme had significantly effect on the non- consultation rate of rural residents （P≤0.O01）. [Conclusion] The requisite amount of health service for rural residents in west China showed to be high, while the requirement for them was low. Age and whether rural residents participated in the new rural medical cooperative scheme were the main influencing factors to non-visiting a doctor within two weeks of rural residents.

关 键 词：卫生服务 影响因素 LOGISTIC回归分析 西部地区 

分 类 号：R197.1[医药卫生—卫生事业管理]