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目的:了解新农合实施前后新疆新源县哈萨克族牧民卫生服务利用现状,为卫生行政部门合理配置卫生资源,有效调控卫生服务供求关系,为制定深化医药卫生体制改革政策提供依据和实施效果评价提供基础信息。方法:分析2006年及2008年两次牧区居民卫生服务调查中有关卫生服务利用的相关数据并进行描述性统计分析。结果:2006年、2008年新源县哈萨克族牧民两周就诊率分别为9.0%、7.6%(X2=3.73,=0.053),未就诊率分别为83.0%、50.6%(X2=52.88,<0.01),住院率分别为3.0%、3.7%(X2=0.188,P>0.05)应住院而未住院的比例分别为50.8%、29.3%(X2=15.09,<0.01)。结论:哈萨克族牧民卫生服务利用不足。卫生主管部门应当针对牧民的特点,提供相应的卫生服务项目,以提高牧民卫生服务的有效利用。
OBJECTIVE: To understand the status quo of utilization of health services of Kazakh herdsmen in Xinyuan County, Xinjiang before and after the implementation of the new rural cooperative medical system, to provide rational basis for the health administrative departments to allocate health resources and effectively regulate the relationship between supply and demand of health services and to provide basis and implementation evaluation for deepening medical and health system reform policies Provide basic information. Methods: The data of health service utilization in two surveys of pastoral health service in pastoral areas in 2006 and 2008 were analyzed and the descriptive statistical analysis was carried out. Results: The two-week visiting rate of Kazak herdsmen in Xinyuan County in 2006 and 2006 were 9.0% and 7.6% respectively (X2 = 3.73, = 0.053), and the unaccounted rates were 83.0% and 50.6% respectively (X2 = 52.88, <0.01 ), Hospitalization rates were 3.0% and 3.7% (X2 = 0.188, P> 0.05). The rates of hospitalization but not hospitalization were 50.8% and 29.3% (X2 = 15.09, <0.01). Conclusion: The Kazakh herdsman’s health service is underused. The health authorities shall, in response to the characteristics of pastoralists, provide corresponding health services to enhance the effective utilization of herders’ health services.