合作医疗制度下农村女性居民卫生服务利用评价研究-社会医学与卫生事业管理专业论文.docxVIP

安徽医科大学硕士学位论文 安徽医科大学硕士学位论文 PAGE PAGE 4 Study on Evaluation of Health Services Utilization for Rural Women in a Pilot CMS Abstract Objective Through investigating the information of the investigated areas medical services from 1997-2006，to analyze the situation on the health care service provide and utilization, to evaluate the trends of rural women’ health services utilization. Methods The survey include the prescriptions and registers of 55 village clinics,4 township hospitals and 3 county medical institutions in investigated four township areas, Investigated Agency information at the scene to collect and extract patients in prescriptions and registration information. Results (1) Women constitute general hospital illness than men, 25-35 year old the female and the male baby boom of the difference of the constituent ratios of doctor. (2) 65 and 15 years of age women are less than the doctor constitute men.(3) The Pilot CMS men have more opportunities for health services utilization, Girls 15 years of age are teenagers.(4) Respiratory diseases, digestive system diseases, female reproductive and breast disease, pregnancy childbirth and the puerperium, skin and subcutaneous tissue diseases, is located the top six of rural women disease constitute. (5) In high-age of rural women group the proportion of circulatory system diseases was on the rise. (6) The antibiotics, hormones in the body with the use of womens health service had a higher proportion, respectively 33% and 7%. There was an increase in the application of Traditional Chinese patent medicines. (7) The number of rural women delivering in the county hospitals is less than in the township hospitals in the 10 years. (8) Cesarean section rate increased year by year. Big babies and first babies were more likely to be delivered by Caesarean section. Conclusion The Pilot CMS affect women health services utilization of fairness. The Pilot CMS didn’t affect the disease, the treatment and the delivery situation. Cesar