苏州市儿童卫生服务利用状况调查  

A Survey on Health Services Utili zation of Children in Suzhou

作　　者：吴婧[1] 陈立凌[2] 张涛[1] 江艳微[1] 王丹[1] 赵根明[1] 张钧[2] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]苏州市疾病预防控制中心,江苏苏州215004

出　　处：《中国初级卫生保健》2013年第2期41-43,共3页Chinese Primary Health Care

基　　金：美国疾病预防控制中心资助项目(EID.18)

摘　　要：目的了解苏州市儿童卫生服务利用情况,初步分析影响卫生服务利用的因素。方法采用横断面调查的设计和随机抽样的方法,对1800名儿童家长或监护人进行电话问卷调查。结果调查对象过去一个月内发热、流涕和腹泻的发生率分别为7.0%、38.3%和4.0%。对不同症状的就诊行为分析,发热患儿的就诊比例最高,为83.9%;其次是有呕吐症状的患儿,就诊比例为46.9%。对就诊意向分析,若儿童出现发热、咳嗽/流涕、呕吐/腹泻等症状时,选择就诊的比例分别为96.4%、70.0%和92.0%。影响就诊行为的因素主要是家长选择自行服药治疗,影响就诊意向的主要原因是医院看病人太多。结论苏州市儿童流感等常见症状的发生率较高,应诊行为和意向在市内三个城区存在差异。OBJECTIVE To investigate the utilization of health services of children in Suzhou, and explore the risk taetors. METI-IOD5 It＇s a cross-section telephone survey. By stratified random sampling method, 1 800 children and their parents were sampled and surveyed. RESULTS The incidences of fever rhinorrhoea and diarrhea were 7.0%, 38.3%, 4.0% of children in the previous one month. The rate of hospital visit when fever occurredwas the highest in Suzhou children（83.9%）, then followed by that of vomit（46.9%）. If children got fever, cough or rhinorrhoea, vomit or diarrhea, the rate of the parents would visit doctor were 96.4%, 70.0%, 92.0%. The most common behaviors of those not to visit hospital was self-treatment and their major concern were too many patients in the hospitals. CONCLUSION The incidences of influenza-like illness and other common symptoms were high in Suzhou children, there exist substantial regional disparities in medical seeking behavior.

关 键 词：儿童卫生服务利用 就诊行为 就诊意向 

分 类 号：R174[医药卫生—妇幼卫生保健]