[1]杨海燕),裴新红),宗上纲),等.河南省基层卫生机构住院患者卫生服务需求与利用的现状调查*[J].郑州大学学报(医学版),2010,(02):228-229.
 YANG Haiyan),PEI Xinhong),ZONG Shanggang),et al.Health service requirement and utilization of hospitalized patients in basic medical organization of Henan Province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2010,(02):228-229.
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河南省基层卫生机构住院患者卫生服务需求与利用的现状调查*()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2010年02期
页码:
228-229
栏目:
论著
出版日期:
2010-03-30

文章信息/Info

Title:
Health service requirement and utilization of hospitalized patients in basic medical organization of Henan Province
作者:
杨海燕1)裴新红2)宗上纲3)王宇明3)#
1)郑州大学公共卫生学院流行病学教研室郑州4500012)郑州大学第一附属医院乳腺外科郑州4500523)河南省医学科学院郑州450003
Author(s):
YANG Haiyan1) PEI Xinhong2) ZONG Shanggang3) WANG Yuming3)
1)Department of Epidemiology,College of Public Health, Zhengzhou University, Zhengzhou 450001 2)Department of Breast Surgery,the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052 3)Henan Academy of Medical Sciences,Zhengzhou 450003
关键词:
卫生服务需求利用基层卫生机构河南省
Keywords:
health service requirement utilization basic medical organizationHenan Province
分类号:
R197.62
文献标志码:
A
摘要:
了解河南省基层卫生机构住院患者卫生服务需求和利用现状,为农村卫生适宜技术推广示范研究提供依据。方法:随机选择河南省的2个县,采用系统抽样的方法收集2007年2个县的县人民医院(2650例)、县中医院(704例)、县妇幼保健院(667例)和4个乡镇卫生院(509例)出院患者病历,采集住院患者的人口学特征、疾病系统构成、住院患者的付费方式及住院费用等信息,对卫生服务需求及利用情况的数据进行分析。结果:县中医院、乡镇卫生院住院患者以女性为主,各占52.1%和51.7%,而县人民医院以男性为主,占57.6%。年龄多集中在>45岁年龄段,职业以农村职业劳动者为主(62.5%以上)。县人民医院、中医院和乡镇卫生院在疾病构成上差异有统计学意义(χ2=209.070,P<0.001)。基层卫生机构住院患者的付费方式及住院费用差异均有统计学意义(χ2=367.944,P<0.001;H=340.101,P<0.001)。结论:基层卫生机构的主要需求方是农村居民。农村卫生适宜技术有必要及时推广。
Abstract:
To investigate the requirement and utilization of health service of hospitalized patients in basic medical organization of Henan Province.Methods:Two counties were selected randomly from Henan Province.The data of discharged patients in the 2 county hospitals including county people’s hospital (n=2 650), Chinese traditional medicine hospital(n=704),and maternal care hospital(n=667),and four township hospitals(n=509) during one year were collected.The types of disease,payment ways,and the total fee for hospitalization were analyzed.Results: Female hospitalized patients mainly ditributed in Chinese traditional medicine hospital and township hospitals, respectively,which accounted for 52.1% and 51.7%; male patients, in county people’s hospital,which accounted for 57.6%. Most of the hospitalized patients were more than 45 years old, and were peasants(more than 62.5%).The types of disease had significant differences among county people’s hospital, Chinese traditional medicine hospital,and four township hospitals(χ2=209.070,P<0.001). Payment ways and the total fee for hospitalization also had significant differences among the different hospitals(χ2=367.944,P<0.001;H=340.101,P<0.001).Conclusion: Peasants are main consumers to basic medical organization.Suitable technique of health service for county hospitals need to be carried out.

参考文献/References:

[1]黎燕宁,李向红,林江.农村卫生服务影响因素的主成分分析[J].广西医科大学学报, 2004,21(5):793
[2]冉明会,李春霞,邓丹,等. 重庆市某县县级医疗机构住院患者卫生服务利用与需求调查[J]. 第三军医大学学报,2007,29(2):163

备注/Memo

备注/Memo:
*国家科技部“十一五”攻关基金资助项目2007BAI07A11; 河南省医学科技攻关基金资助项目200803013#通讯作者,男,1958年生,硕士,研究员,研究方向:卫生事业管理,Email:henanyuming@sina.com
更新日期/Last Update: 2010-04-29