摘要
目的了解我省卫生保健服务利用现状,为制定有效的卫生保健政策提供基础信息。方法采用多阶段分层随机抽样的方法抽取广东省21个区(县)7650人,以入户方式询问被调查者过去1年内慢性病患病情况。结果约53.98%的居民没有享受卫生保健服务,医疗保健费用的绝大部分需要个人负担。没有享受卫生保健服务的城市、农村居民分别占37.17%和64.41%,二者有显著性差异。城市主要以社会医疗保险为主,农村主要以合作医疗为主。个人承担医疗费用平均为625.15元/人·年,女性高于男性,城市高于农村。近5年来,仅26.40%的居民进行了健康体检,参加健康体检人群主要以1～2次/5年为主。已婚或25岁以上未婚女性人群乳腺X光检查率为13.80%,城市(29.86%)高于农村(3.52%)。子宫细胞学涂片检查率为11.47%,城市高于农村。结论我省卫生保障覆盖率不高,居民个人医疗负担重,健康保健意识薄弱,政府应着力构建覆盖全省居民的卫生保障体系,提高卫生保障水平。
OBJECTIVE To analyze the current situation of health care services utilization in Guangdong Province. Then to provide base information for government. METHODS 7 650 residents from 21 districts （counties） in Guangdong were by multistage stratified sampling, and they were investigatecd with questionnaire. RESULTS About 53.98% of the residents had not health care services and it was higher in the rnral（64.41%）than in the urban（37.17%）. The style of health care was main the social medical insurance in the urban and cooperative medical care in the rural. The medical cost of person bearing was 625.15 yuan per man in one year. Only 26.40% of the residents had carried out health examination in the past five years. The rate of mammary gland X light inspection was 13.80%. In the married women or above 25 years old single women and the rate of womb cytology smear inspection was 11.47%, higher in the urban than in the rural. CONCLUSION The coverage rate of health care services was low in Guangdong Province, and the personnel medical cost were huge. The government should set up the system of health care services, then enhance the coverage rate of health care in Guang- dong Province.
出处
《中国初级卫生保健》
2008年第11期1-5,共5页
Chinese Primary Health Care
基金
广东省科技厅重大攻关项目(2002B31002)。
关键词
卫生保健服务
利用
现状
health care service, utilization, current situation
