城市化发展对居民卫生服务需要及利用的影响分析  

Impact of Urbanization on the Residents' Health Service Needs and Utilization Based on the Urban and Rural Integration Development

作　　者：高博[1] 赵娜[1] 任晓晖[1] 李宁秀[1] 

机构地区：[1]四川大学华西公共卫生学院社会医学教研室,成都610041

出　　处：《四川大学学报（医学版）》2013年第2期255-260,共6页Journal of Sichuan University(Medical Sciences)

基　　金：国家自然科学基金项目(No.70973085)资助

摘　　要：目的通过分析半城市化农民与城市居民和农村居民在卫生服务需要及利用上的差异,探讨城市化发展对居民卫生服务需要及利用的影响,为卫生决策提供参考。方法采用分层随机抽样方法抽取成都市3个经济圈层常住居民为调查对象,利用自行设计的问卷对城乡居民进行问卷访谈。结果半城市化农民两周患病率、住院率及未就诊率较高,而城市居民慢性病患病率较高;年龄、就业状况和城乡因素是两周患病和慢性病患病的主要影响因素;在控制了相关因素以后,城乡因素对卫生服务利用影响不大。结论城乡统筹发展提升了城乡居民的卫生服务可及性并在一定程度上缩小了城乡居民之间的健康差距,而半城市化农民是城市化进程中出现的特殊群体,应当从就业援助等方面加以关注。Objective To explore the impact of urbanization on the residents＇ health service needs and utilization for the purpose of providing references for health making-decision by analyzing the difference of health service needs and utilization in semi-urban residents, urban residents and rural residents. Methods The residents in the three economic zones of Chengdu were selected by stratified ration sampling and interviewed with the questionnaire. Results The two-week morbidity rate, hospitalization rate, and non clinical visit rate of semi-urban residents were higher than those of other people, and the chronic disease prevalence rate of urban residents was higher. Age, employment status, and the urban-rural identification were the main influential factors of two-week morbidity rate and chronic illness prevalence. After the related factors were controlled, the urban-rural identification was not the impact factor of the health service utilization. Conclusion The urban-rural integration development has promoted the health service accessibility and narrowed the residents. However, the semi-urban residents should be given more employment assistance disparity of health to some extent between urban and rural caught a great deal of attention as a special group, and

关 键 词：城市化半城市化农民 城乡统筹 卫生服务需要 卫生服务利用 

分 类 号：R197.1[医药卫生—卫生事业管理]