广西农村贫困人群卫生服务现状及影响因素分析

摘要

Objective:To learn about the current situation of poverty population demands for health service and ap-plication and the influencing factors,and provide the reference for the formulation of health service policies in poverty-stricken areas. Method:The authors make questionnaire about the health and medical guarantee in the area with multistage random sampling and analyze the influencing factors with logistic regression. Result:Among 1,306 pieces of effective questionnaires,two-week morbidity is 39. 30%,two-week treatment 18. 23% and hospitalization rate is 24. 59%. Two-week treatment for reimbursement and hospitalization reimbursement are 39. 08% and 54. 98% respectively. The influen-cing factors on their demands and application of health service are educational background,new rural cooperative medical system,medical rescue and help,the distance from the medical help,self-judgment of disease,and ages. Conclusion:The low use rate of health service among poverty population indicates that the education on disease prevention and health should be intensified,government input be enlarged,medical resources be rationally allocated and the use rate of health service be improved.%目的：了解广西农村贫困人群卫生服务需求与利用现状及影响因素，为制定符合贫困地区卫生服务政策提供参考依据。方法采取多段随机抽样，对农村贫困人群进行健康状况及医疗保障水平进行问卷调查；采用logistic回归分析卫生服务利用的影响因素。结果在1306份有效调查问卷中，两周患病率39.30％，两周就诊率18.23％，住院率为24.59％；两周患病就诊报销比例和住院报销比例分别为39.08％和54.98％；文化程度、是否参加新农合、是否享受医疗救助、距离最近医疗点远近、自感病情程度、年龄是影响该人群卫生服务需求与利用的主要因素。结论农村贫困人群卫生服务利用率低，需加强人群预防保健与健康教育，增大政府卫生投入，合理配置卫生资源，提升卫生服务利用能力。