衡陽縣農村社區居民衛生服務需求與利用調查

[摘要] 目的了解衡陽縣農村社區居民衛生服務的需求及利用的基本情況和特點。方法采用多階抽樣方法，從全縣26個鄉鎮893個行政村(居委會)中隨機抽取600戶，年齡≥15歲的農村社區居民進行入戶調查。結果被調查人群的兩周患病率為13.39%，慢性病患病率為11.69%，兩周就診率為12.05%，應就診而未就診率為30.81%，社區衛生服務站的利用率為40.16%，對社區衛生服務總的滿意度為78.81%。結論衡陽縣需要不斷完善農村社區衛生服務的相關政策，加大社區衛生服務站的投入，滿足農村居民的醫療需求，提高社區衛生服務的利用率。

[關鍵詞] 農村社區;衛生服務需求;衛生服務利用

[中圖分類號] R19[文獻標識碼] A [文章編號] 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

衡陽縣地處湘中偏南、湘江中游，總面積2568平方公里，總人口113萬，屬于傳統農業大縣。通過本次研究能了解當地農村社區居民衛生服務需求和利用基本情況和特點，使有限的衛生資源得到合理配置和有效利用，提高全縣農村居民的健康水平，為該縣農村衛生服務的可持續發展提供數據支持。

1對象與方法

1.1研究對象

為衡陽縣長期生活在農村的居民，且年齡≥15歲。

1.2調查方法

采用多階抽樣方法，先從26個鄉鎮中隨機抽取3個鄉鎮，再從被抽到的鄉鎮隨機抽取2個行政村，在樣本村以門牌號碼排序，隨機確定第一個門牌號碼，依次調查100戶。于2009年7～8月由培訓合格的調查員，采用自編問卷對被抽到的居民戶進行入戶調查，共發放問卷2135份，收回有效問卷1925份，應答率為90.16%。

1.3調查內容

主要包括被調查者的一般人口學特征，如性別、年齡、婚姻、教育等;家庭經濟狀況、居住條件、生活環境和行為生活方式;就診意愿;衛生服務需求及衛生服務利用情況等?！?br>