2018年西藏地区居民门诊服务利用现状及影响因素分析  

Status and Influence Factors on the Utilization of Outpatient Services in Tibet in 2018

作　　者：邓仁丹 扎西德吉[2] 拉巴桑珠[2] 万洋[1] 熊海[1,2] DENG Rendan;Zhaxi-Deji;Laba-Sangzhu;WAN Yang;XIONG Hai(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;Medical College,Tibet University,Lhasa 850000,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041 [2]西藏大学医学院,西藏拉萨850000

出　　处：《高原科学研究》2021年第3期55-62,共8页Plateau Science Research

基　　金：西藏第六次国家卫生服务调查项目(18080027);喜马拉雅区域发展协同创新中心项目(ZFYJY201901005);中央支持地方高校改革发展专项项目(ZFYJY201902016);2020年中央财政支持地方高校改革发展专项项目(藏财预指(2020)1号00060585).

摘　　要：目的:通过分析西藏地区居民两周患病就诊情况及其影响因素,了解其门诊服务利用现状,为当地卫生政策的制定提供参考。方法:利用“2018年西藏地区第六次国家卫生服务调查”数据,收集到2255例居民为两周患病者,分析其两周就诊情况,并采用Logistic回归模型对两周患病就诊率的影响因素进行分析。结果:西藏地区居民两周患病就诊率为59.5%,26.6%的患病居民选择自我医疗,6.7%的患病居民为两周前持续用药治疗,两周患病未治疗率为7.2%。两周患病就诊次数以1次为主(76.3%),就诊机构以县级以上区属医院所占比例最大(36.6%),56.9%的居民是因为距离近/方便而选择相应就诊机构,82.0%的居民对就诊表示满意。户口性质、是否患有慢性病是两周患病就诊率的影响因素。结论:西藏地区两周患病就诊率较低,农牧区居民两周患病就诊率高于城镇居民,且非慢性病患者两周患病就诊率高于慢性病患者,相关卫生部门应结合当地居民人群特征,采取相应措施加强门诊卫生服务利用。Objective:To provide reference for the formulation of local health policy by analyzing the two-week illness treatment situation and its influencing factors of residents in Tibet.Methods:There were 2255 residents were collected from the data of"the Sixth National Health Service Survey in Tibet in 2018",and their two-weeks medical treatment was analyzed.The influencing factors of the two-week consultation rate were analyzed by Lo⁃gistic regression model.Results:The two-week consultation rate of the residents in Tibet was 59.5%,26.6%res⁃idents chose self-medical treatment,6.7%residents have been treated two weeks ago and continue taking medi⁃cine,and 7.2%residents did not receive treatment in two weeks.Besides,the frequency of medical consultation was mainly once in two weeks(76.3%).Hospitals above the county level accounted for the largest proportion(36.6%),56.9%of the residents chose the corresponding medical institutions because of their proximity/conve⁃nience,and 82.0%of the residents were satisfied with the medical treatment.The nature of registered permanent residence and chronic diseases were the influencing factors of the two-week consultation rate.Conclusion:The two-week consultation rate in Tibet was relatively low,the two-week disease consultation rate in rural areas was higher than urban areas,and the two-week consultation rate in non-chronic diseases was higher than that in chronic diseases.Relevant health departments should take corresponding measures to strengthen the utilization of outpatient health services in combination with the characteristics of local residents.

关 键 词：西藏 门诊服务利用 两周就诊率 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]