黑龙江省2009年不同经济地区农民住院现况分析  

Hospitalization situation of farmer patients from different economic areas of Heilongjiang province in 2009

作　　者：姚业祥[1] 陈为民[2] 

机构地区：[1]齐齐哈尔医学院公共卫生学院社会医学与卫生事业管理教研室,黑龙江齐齐哈尔161006 [2]黑龙江省卫生厅

出　　处：《中国公共卫生》2011年第8期980-982,共3页Chinese Journal of Public Health

基　　金：教育部人文社会科学研究规划基金项目(09YJA630079)

摘　　要：目的对黑龙江省2009年不同经济地区农民住院现况进行分析,了解农民健康和卫生服务利用的主要影响因素。方法采用多阶段分层整群抽样方法抽取黑龙江省2 430户共9 740名农民,采用SPSS 12.0对住院率、未住院原因和住院费用过高原因等指标进行统计分析。结果经济水平高的地区住院率最高为7.14%;3种经济水平县女性住院率均高于男性,差异均无统计学意义(P>0.05);3种经济水平县男性住院率比较差异有统计学意义(P<0.05);住院医疗机构和未住院原因构成差异有统计学意义(P<0.005),经济困难占未住院原因比例较高,分别为86人(71.67%)、105人(66.46%)和79人(58.08%);农民住院费用过高原因构成比较差异无统计学意义(P>0.05);认为药品价格过高农民在3种经济水平县中分别是94人(74.61%)、124人(78.48%)和111人(67.68%)。结论黑龙江省经济水平较高地区农民住院率较高;经济困难和药品价格过高是农民就医的主要影响因素。Objective To examine the hospitalization situation of farmer patients from different economic areas of Heilongjiang province,and to analyze major influence factors of the famer patients＇ hospitalization.Methods Totally 9 740 rural residents were selected with cluster sampling for a questionnaire survey in 2009.The hospitalization rate,the cost of hospitalization,and the factors related to admission were analyzed with SPSS 12.0.Results The farmers from the areas with best economic status had the highest hospitalization rate of 7.14%.The hospitalization rates among male farmers from the areas of different economic level were significantly different（P0.05）.There were significant differences in reasons of no admission among different kinds of medical institutions（P0.05）.The financial difficulty was the main reason for no admission with the proportions of 71.67%,66.46%,and 58.08% among the farmer patients from low,moderate,and high economic level county.Among the farmer patients without hospitalization for essential treatment,there were 94（74.61%）,124（78.48%）,and 111（67.68%） considering the price of the medicine being too high according to the low,moderate,and high economic level of their residential areas,respectively.Conclusion The farmers living with better economic conditions have a higher hospitalization rate,and financial difficulty and high price of medicine are major influence factors for farmer patients without necessary hospitalization in Heilongjiang province.

关 键 词：农民 经济水平 住院 现况分析 

分 类 号：R197.62[医药卫生—卫生事业管理]