某省居民2周就诊情况及其影响因素分析  

Analysis of Two-week visiting Rate and Its Factors from 2008 to 2013 in Jilin

作　　者：何永欢 汪颖[1] 张启军[2] 王秋艳[2] 冯星淋[1] 

机构地区：[1]北京大学公共卫生学院,北京市100191 [2]吉林省卫生统计信息中心,长春市130061

出　　处：《中国卫生信息管理杂志》2016年第3期303-308,共6页Chinese Journal of Health Informatics and Management

基　　金：国家自然科学基金青年科学基金(项目编号:71303010);国家自然科学基金优秀青年科学基金(项目编号:71422009)

摘　　要：目的分析吉林省2008年与2013年患病居民卫生服务利用的特征、变化趋势和影响因素。方法利用2008年与2013年2次吉林省卫生服务调查数据,描述居民2周就诊率及其疾病构成,分析不同类型疾病的就诊机构类型,采用Logistic回归分析趋势及影响因素。结果与2008年相比,2013年2周就诊率及2周患病就诊率均有所上升。就诊患者中慢性病的构成比例大幅增加,慢性病患者在基层医疗卫生机构就诊比例也有所增加。地区、人均年收入、医保类型、到达最近机构时间、是否患慢病为2周就诊的影响因素。结论近年来吉林省卫生服务利用率大幅增加,慢病多发已成为卫生发展的重要挑战,需重点加强基层卫生服务体系建设。Objective To analyze the two-week visiting rate, trend and its factors from 2008 to 2013 in Jilin. Methods Using data from 20082013 National Health Service Survey, to describe visiting rate and disease constitutionand to analyze clinic choice of different typesof disease. Logistic regression was used to analyze the factors of two-week visiting rate. Results Comparing with 2008, two-week visiting rate and patients＇ two-week visiting rate is improved in 2013. Proportion of chronic disease among visiting is increased, and the proportion of primary care institution is increased as well. Region,income, insurance, arriving time and chronic disease are influence factors. Conclusion The utilization of health services is increased in Jilin in recent years. The rapid growth of chronic disease has become an important challenge for health development. The primary health service system should be strengthened.

关 键 词：卫生服务利用 2周就诊率 影响因素 吉林省 

分 类 号：R195.4[医药卫生—卫生统计学] R-34[医药卫生—卫生事业管理]