新疆农村居民健康状况及卫生服务利用分析  

Health status and utilization of health service among rural residents in Xinjiang

作　　者：李晓娜[1] 秦江梅[1] 唐景霞[1] 陈景春 许东霞[1] 

机构地区：[1]石河子大学医学院预防医学系,新疆石河子832002 [2]新疆维吾尔自治区卫生厅

出　　处：《中国公共卫生》2012年第2期141-142,共2页Chinese Journal of Public Health

摘　　要：目的探讨新疆2003-2008年农村居民健康状况、卫生服务需求与利用的变化趋势及不同收入居民卫生服务利用公平性的变化。方法利用2003、2008年国家卫生服务调查数据,采用SPSS 13.0软件进行统计分析,利用5分组法测算卫生服务利用集中指数(CI)分析公平性变化。结果 2次农村卫生服务调查的性别及年龄构成无统计学差异(P>0.05);2008年新疆农村居民2周患病率由9.1%上升为15.0%,慢性病患病率由9.8%上升到17.2%,差异有统计学意义(P<0.001);2周就诊率由8.5%提高为11.0%(P<0.001),未就诊率分别为45.0%、45.1%;住院率由5.6%提高为11.6%,未住院率由42.4%下降为15.4%,差异有统计学意义(P<0.001);2周就诊率CI由0.09变为0.11,未就诊率CI由-0.01降为-0.06,住院率、未住院率CI分别降为0.03、0.01,趋向0。结论 2008年新疆农村居民2周患病率及慢病患病率升高,卫生服务利用量增加,低收入居民的门诊服务利用受到限制,不同收入居民的住院服务利用趋向公平。Objective To explore the changes of health status,requirement,utilization,and the equity of health service among rural residents in Xinjiang Uygur Autonomous Region from 2003 to 2008.Methods The data from National Health Services Research in rural residents of Xinjiang in 2003 and 2008 were collected.SPSS 13.0 software was used to analyze the data.The concentration index（CI） of health service utilization was calculated with quintile method to evaluate the equity.Results The distributions of gender and age of the residents were not statistically different between the two health service studies（P0.05）.From 2003 to 2008,two-weeks disease prevalence rate increased from 9.1% to 15.0%;the prevalence rate of noncommunicable chronic diseases（NCDS） increased from 7.8% to 14.6%（P〈0.001）;two-weeks consultation rate increased from 8.5% to 11.0%（P〈0.001）;the non-consultation rate was 45.0% and 45.1%,respectively;the hospitalization rate increased from 5.6% to 11.6% and the non-hospitalization rate decreased from 42.4% to 15.4%（P〈0.001）.The CI for two-weeks consultation rate increased from 0.09 to 0.11;the CI for non-consultation decreased from-0.11 to-0.06;the CI for hospitalization and non-hospitalization rate tended to zero（0.03,0.01） in 2008.Conclusion In 2008,the two-weeks disease prevalence rate and prevalences of NCDS and the utilization of health service increased,whereas the utilization of out-patient service among poor residents was restrained and the equity of inpatient health service was improved among rural residents in Xinjiang.

关 键 词：新疆农村 健康状况变化 卫生服务利用 公平性 

分 类 号：R197[医药卫生—卫生事业管理]