河北省农村老年人卫生服务需要、需求及利用现状  

Health service demand and utilization among rural elderly in Hebei province

作　　者：孙秀娜 秦殿菊[1] 徐静[1] 洪查理[2] 贾兰芳[3] 毛荣华[3] 田建丽[1] SUN Xiu-na;QIN Dian-ju;XU Jing(Chengde Medical College,Chengde,Hebei Province 067000,China;不详)

机构地区：[1]承德医学院,河北承德067000 [2]承德市中心医院 [3]承德医学院附属医院

出　　处：《中国公共卫生》2022年第4期420-424,共5页Chinese Journal of Public Health

基　　金：承德市社会科学发展研究课题(20193119)。

摘　　要：目的了解河北省农村≥60岁老年人卫生服务需要、需求及利用现状。方法于2019年7—9月,采用多阶段分层整群抽样方法,采用面对面的方式对石家庄、沧州、承德3个地区2892名≥60岁农村老年人进行一般人口学资料、卫生服务可及性和需要、需求及利用情况调查。结果河北省农村老年人慢性病患病率为79.1%,两周患病率为20.5%;两周患病就诊率12.4%,两周患病未就诊率39.4%,1年住院率26.6%,应住院未住院率46.8%,未就诊、未住院原因居于前3位均为:自感病轻、经济困难、交通不便利。不同社会发展水平地区卫生服务可及性差异具有统计学意义(P<0.05),不同特征老年人在卫生服务需要、需求及利用具有一定差异性(P<0.05)。结论河北省农村老年人卫生服务呈现"高需求,低利用"现状,强化提高老年人健康水平医疗保障制度,满足老年人多层次多样化卫生服务需求,优化卫生服务资源配置,提升河北省老年人口卫生服务利用率。Objective To examine health service demand and utilization among rural residents aged≥60 years in Hebei province.Methods Using stratified multistage cluster sampling,we conducted face-to-face interviews among2892 residents≥60 years in 12 villages of 3 municipalities,Hebei province during July-September 2019.A selfdesigned questionnaire was used to collect participants′information on health service demand,utilization and accessibility.Results Among the participants surveyed,the prevalence of chronic diseases was 79.1%;the two-week prevalence rate was20.5%;12.4%reported ever visiting a doctor during past two weeks;34.4%reported with illness to be treated but not seeking medical service during past two weeks;26.6%reported having hospitalization during previous one year and 46.8%reported with diseases needing hospitalization treatment but not having hospitalization.The reported top three reasons for not seeking medication during past two weeks and not having a required hospitalization during past one year were self-perceived mild illness,economic difficulty,and inconvenient transportation.The difference in health service accessibility was statistically significant among the participants living in regions with different social development levels(P<0.05);the participants′health service demand and utilization differed significantly by some sociodemographic features(P<0.05 for all).Conclusion The health service demand is at a high level but the health service utilization is at a low level among rural elderly in Hebei province,suggesting that medical insurance and health resource allocation should be improved to promote health service utilization of the population.

关 键 词：农村老年人 卫生服务需要 卫生服务需求及利用 卫生服务可及性 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]