西部农村婴幼儿常见病就诊现状及影响因素分析  

Analysis on Medical Care Utilization among Rural Younger Children in West China and its Influencing Factors

作　　者：肖生彬[1] 颜虹[1] 党少农[1] 毕育学[1] 王全丽[1] 康轶君[1] 谢红[1] 

机构地区：[1]西安交通大学医学院卫生统计学教研室,陕西西安710061

出　　处：《现代预防医学》2012年第18期4704-4706,4715,共4页Modern Preventive Medicine

基　　金：卫生部与联合国儿童基金会资助项目(YH001)

摘　　要：目的了解我国西部农村地区婴幼儿就诊现状以及有关影响因素。方法采用横断面调查设计与多阶段随机抽样的方法抽取有3岁以下儿童的家庭户,共计14 112户,用自制调查问卷进行入户调查。结果患感冒儿童中86.6%的儿童去医疗单位就诊,患腹泻儿童中有76.9%的儿童去医疗单位就诊;就诊单位以乡、村两级医疗机构为主,其中在村卫生室就诊的比例接近50%;就诊率在不同年龄、性别、民族和家庭经济状况之间表现出一定的差异性;对于未就诊的原因,超过80%的母亲报告是因为自感病情轻,而报告因费用问题未就诊的比例不足3%。结论 3岁以下儿童患病后对医疗服务的利用水平较高,其就诊行为受经济状况等外在因素的影响相对较小,就诊与否更多地取决于看护人对疾病本身的严重程度的判断。OBJECTIVE To explore the status of medical care utilization among rural younger children in west China and its influencing factors. METHODS Cross-sectional study and multi-stage random sampling method was employed for thi~ study. A structured questionnaire was used to collect relevant information by asking children＇s mother. 14 112 children were investigated. RESULTS The two-week consultation rates of patients were 86.6% and 76.9% respectively. The rates varied with children＇s na- tionality, sex and household financial conditions. Most children For the reasons of not seeing a doctor, more than 80% respon- dents reported not serious of the illness, less than 3% reported of the high cost. CONCLUSION The medical care utilization a- mong children under 3 years of age was generally at higher level compared with that in adults, whether consulting a doctor or not mainly depended on the judgment of the child＇s mother on the seriousness of illness, rather than on other factors, such as the cost of visiting doctor.

关 键 词：西部农村 婴幼儿 基本医疗服务利用 影响因素 

分 类 号：R272.1[医药卫生—中医儿科学]