山东省农村老年人卫生服务利用现状及影响因素分析  

The Study on the Status of the Utilization of the Health Services of the Shandong Province Rural Elders and Its Influencing Factors

作　　者：牛田华[1] 孟庆跃[2] 王国栋[1] 刘健[1] 孟祥臻[1] 李向云[1] 

机构地区：[1]潍坊医学院预防医学系,山东潍坊261053 [2]山东大学公共卫生学院,济南250001

出　　处：《中国初级卫生保健》2010年第5期7-8,共2页Chinese Primary Health Care

基　　金：山东大学与哈佛大学合作课题"农村社会经济与健康研究"(21320113660662)

摘　　要：目的了解农村老年人卫生服务利用情况,并探讨其影响因素。方法采用分层随机抽样方法,从山东省不同经济发展水平的11个地、市随机抽取610名农村老年人,采用国家卫生服务调查问卷对农村老年人卫生服务进行现场调查,了解农村老年人卫生服务利用状况,采用单因素分析和多元Logistic回归分析方法对农村老年人卫生服务利用的影响因素进行分析。结果本次调查共发放调查问卷610份,回收有效问卷603份,农村老年人两周患病率为26.20%,两周就诊率为13.27%,患病而未就诊者占49.37%,多元Logistic回归分析发现影响农村老年人两周就诊率的因素有:医疗保险、抚养人口数、健康自评和居住地等。结论农村老年人对卫生服务利用率较低,应大力发展农村经济,不断完善医疗保障制度,并加强农村老年人的健康教育,逐步提高其卫生服务利用率。OBJECTIVE To know about the health status of rural elderly, the utilization of health care and its influencing factors. METHODS The stratified random sampling method is used to the survey, a total elderly people in rural areas of Shandong Province were 603 cases. The questionnaire ＂related investigation questionnaire to rural elderly health services＂, was designed to know about the utilization of health care. Single-factor analysis and logistic regression were used to analysis the influencing factors. RESULTS The total survey questionnaires were 610, 603 were effective recycling, the rate of efficient use was 98.85%. The two-week prevalence rate was 26.20% , two-week visit rate was 13.27% , two-week non-visit rate was 49.37%. After logistic regression, it was found that medical insurance, foster population, health self-appraisal, inhabitancy can impact the two-week visit rate. CONCLUSION There is lower health service utilization for rural elders. Developing the rural economy, improving the medical insurance system, improving the rural elders’ health status, health education for the rural elders should be done to improve the utilization of health services.

关 键 词：农村老年人 卫生服务利用 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]