广州市海珠区居民卫生服务需要与利用分析  

Study on the Prevalence Rates of Health Services Need,Utilization and Its Influencing Factors in Resident in Haizhu District,Guangzhou City

作　　者：庄晓霞[1] 朱凯星[1] 于海波[1] 宋叶[1] 

机构地区：[1]广州市海珠区疾病预防控制中心,广州510288

出　　处：《中国初级卫生保健》2011年第3期7-9,共3页Chinese Primary Health Care

摘　　要：目的了解广州市海珠区居民卫生服务需要、利用现状及其影响因素。方法采用多阶段整群抽样方法,对40053名广州市户籍常住居民进行调查。结果广州市海珠区居民两周患病率为32.91%,两周患病病例中82.68%是慢性病,两周患者未就诊率为18.31%,两周患病和住院就诊单位均以三级综合或专科医院为主;多因素分析结果显示,年龄、婚姻、文化程度、职业、医疗保险、人均年收入和体育锻炼均是影响居民两周患病及是否就诊的主要因素,而饮酒因素仅影响就诊行为。结论广州市海珠区居民卫生服务需要以慢性病为主,医疗服务的利用都以大医院为主,卫生服务潜在需求存在一定空间。OBJECTIVE To explore the need and utilization for health services in resident and related factors in Haizhu District,Guangzhou.METHODS Multi-stage cluster sampling method was used.40 053 residents with Guangzhou household registration were selected from Haizhu District,Guangzhou.RESULTS The two-week prevalence rate was 32.91 percent in residents in Haizhu District,Guangzhou.The chronic cases accounted for 82.68 percent of Two weeks illness.The patients who did not seek medical advice accounted for 18.31 percent in all patients.Three class-based integrated or specialist hospitals were found to be the preferable choice for those residents.Multivariate analysis showed that age,marital status,education,occupation,medical insurance,annual per capita income and the impact of physical exercise were the main factors of two weeks illness and medical behavior,but drinking factors only found to affect medical behavior.CONCLUSION The health services need to mainly target the chronic patients and general hospitals were still the primary use of medical services.The potential health services demand in residents have a certain space in Haizhu District,Guangzhou.

关 键 词：卫生服务需要 卫生服务 利用 两周患病率 广州 

分 类 号：R197[医药卫生—卫生事业管理]