湖北省居民门诊卫生服务利用状况调查与分析

摘要

Objective To understand the utilization of outpatient health service in Hubei Province and to provide data support and theoretical basis for health policy.Methods Multi-stage stratified cluster sampling was used to select 34 144 residents in Hubei Province.Data was collected via a face to face household survey using the 5th National Health Service Investigation.Results There are 7 047 residents answering their medical history,the number of person who saw a doctor in two weeks is 3 354,the two-week consultation rate was 9.8％ (3 354/34 144),and the rate was 9.6％ in urban areas and 10.0％ in rural areas,respectively.The proportion of residents who choose primary medical institutions as the first diagnosed agencies is 78.1％ and the consultation rate decreased as the level of health care institutions increases.The proportion of patients with a two week illness history does not seek medical care is 21.3％ (1 498/7 047) and the proportion of patients who doesn't get any treatment is 8.2％ (576/7 047),The major reasons for not seeking medical care or not getting any treatment are that "feeling slight ill there is no effective measure" and "economic hardship".Conclusion The utilization level of outpatient health service in Hubei Province increases,the primary medical institutions are the primary choice,and the impact of economic hardship on health-seeking behaviors reduces.%目的 了解湖北省居民门诊卫生服务利用状况,为制定卫生政策提供数据支持和理论依据.方法 运用多阶段分层整群抽样方法抽取湖北省34 144名居民为调查对象,采用国家第五次卫生服务调查表进行面对面入户调查.结果 7 047例两周患病者回答了就诊状况,两周内就诊量为3 354人次,两周就诊率为9.8％(3 354/34 144),其中城市9.6％、农村10.0％;两周患病首诊在基层医疗机构的比例为78.1％,就诊比例随着医疗机构等级提高而降低;两周患病未就诊率为21.3％(1 498/7 047),未治疗比例为8.2％ (576/7 047),未就诊和未治疗的主要原因为“自感病轻”“无有效措施”和“经济困难”.结论 湖北省居民门诊医疗服务利用增加,以基层医疗机构就诊为主;经济困难对居民就诊行为的影响降低.