衡阳县农村社区居民卫生服务需求及利用调查.docVIP

衡阳县农村社区居民卫生服务需求及利用调查[摘要] 目的了解衡阳县农村社区居民卫生服务的需求及利用的基本情况和特点。方法采用多阶抽样方法,从全县26个乡镇893个行政村(居委会)中随机抽取600户,年龄≥15岁的农村社区居民进行入户调查。结果被调查人群的两周患病率为13.39%,慢性病患病率为11.69%,两周就诊率为12.05%,应就诊而未就诊率为30.81%,社区卫生服务站的利用率为40.16%,对社区卫生服务总的满意度为78.81%。结论衡阳县需要不断完善农村社区卫生服务的相关政策,加大社区卫生服务站的投入,满足农村居民的医疗需求,提高社区卫生服务的利用率。 [关键词] 农村社区;卫生服务需求;卫生服务利用 [中图分类号] R19[文献标识码] A [文章编号] 1673-9701(2010)06-87-02 Investigation of Demands and Utilization of Community Health Service of Rural Residents in Hengyang County LONG LiliangWANG Xi Department of Epidemiology and Health Statistics,School of Public Health,University of South China,Hengyang 421001,China [Abstract] Objective To study the Status and the characteristics of health demands and utilization of health services of residents of rural community in Hengyang County. Methods By using multistage sampling method, 1925 dwellers more that 15 years old were interviewed at their home with questionnaires. Results The prevalence rate within two weeks of the dwellers in rural areas of Hengyang County was 13.39%,and the prevalence rate of chronic non-infectious diseases was 11.69%. The visit rate within two weeks of the investigated dwellers was 12.05%,the non-visit rate within two weeks was 30.81%.The rate of utilization of community health service station was 40.16%. The total satisfactory rate of the dwellers was 78.81%. Conclusion It shows a low utilization rate of community health service station in Hengyang county. Construction of community health service station should be enhanced to meet health demands of rural residents and increase the utilization rate of community health service station. [Key words] Rural community;Health demand;Utilization of health services 衡阳县地处湘中偏南、湘江中游,总面积2568平方公里,总人口113万,属于传统农业大县。通过本次研究能了解当地农村社区居民卫生服务需求和利用基本情况和特点,使有限的卫生资源得到合理配置和有效利用,提高全县农村居民的健康水平,为该县农村卫生服务的可持续发展提供数据支持。 1对象与方法 1.1研究对象 为衡阳县长期生活在农村的居民,且年龄≥15岁。 1.2调查方法 采用多阶抽样方法,先从26个乡镇中随机抽取3个乡镇,再从被抽到的乡镇随机抽取2个行政村,在样本村以门牌号码排序,随机确定第一个门牌号码,依次调查100户。于2009年7～8月由