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目的 :探讨卫生资源密度指数 (HRDI)对不同卫生人力资源分布区居民健康状况的评价作用。方法 :采用分层随机抽样法对 19885名居民进行健康需求和卫生服务利用水平的调查 ,并以HRDI对居民的健康状况进行评价。结果 :高资源分布区居民两周患病率和慢性病患病率均高于中、低资源分布区 ;其门诊利用高于低资源区 ,住院利用则低于低资源区 ;病人患病未就医 ,应住院未住院的比例均随资源分布下降而升高 ;居民到离家最近的医疗机构和到常去的医疗机构的距离随卫生人力资源分布的降低而增加。结论 :按人配置的卫生人力资源容易造成居民对卫生服务的利用、健康需求 健康状况的两极分化 ,与 2 0 0 0年人人享有初级卫生保健目的相悖 ,应注重卫生人力资源在地理上分布的均衡性。
Objectives: To explore the role of HRDI in assessing the health status of residents in different areas of health human resources. Methods : A total of 19,885 residents were surveyed for health needs and health services using stratified random sampling, and HRDI was used to evaluate the health status of residents. Results: The two-week prevalence and chronic disease prevalence of residents in high-resource-distribution areas were higher than those in middle and low-resource distribution areas; outpatient utilization was higher than in low-resource areas, and hospitalization was lower than in low-resource areas; patients were ill The proportion of non-hospitalized patients who are hospitalized increases with the decline in the distribution of resources; the distance between the residents’ medical institutions closest to home and the medical institutions that frequent them increases with the decrease in the distribution of human resources for health. Conclusion: The per capita allocation of human resources for health is likely to result in the polarization of the use of health services and the health needs of residents. In contrast to the goal of primary health care for all in 2000, we should pay attention to the geographical distribution of human resources for health. The balance.