论文部分内容阅读
目的对黑龙江省2009年不同经济地区农民住院现况进行分析,了解农民健康和卫生服务利用的主要影响因素。方法采用多阶段分层整群抽样方法抽取黑龙江省2 430户共9 740名农民,采用SPSS 12.0对住院率、未住院原因和住院费用过高原因等指标进行统计分析。结果经济水平高的地区住院率最高为7.14%;3种经济水平县女性住院率均高于男性,差异均无统计学意义(P>0.05);3种经济水平县男性住院率比较差异有统计学意义(P<0.05);住院医疗机构和未住院原因构成差异有统计学意义(P<0.005),经济困难占未住院原因比例较高,分别为86人(71.67%)、105人(66.46%)和79人(58.08%);农民住院费用过高原因构成比较差异无统计学意义(P>0.05);认为药品价格过高农民在3种经济水平县中分别是94人(74.61%)、124人(78.48%)和111人(67.68%)。结论黑龙江省经济水平较高地区农民住院率较高;经济困难和药品价格过高是农民就医的主要影响因素。
Objective To analyze the status of hospitalization of peasants in different economic regions in Heilongjiang Province in 2009 to understand the main influencing factors of peasants’ health and health service utilization. Methods A total of 9 740 peasants from 2 430 households in Heilongjiang Province were sampled by multistage stratified cluster sampling. SPSS 12.0 was used to analyze the causes of hospitalization, unreasonable reasons and high hospitalization costs. Results The highest hospitalization rate was 7.14% in the areas with high economic level. The female hospitalization rates in three economic levels were higher than those in males (P> 0.05). There were statistically significant differences in the rates of hospitalization among males in three economic levels (P <0.05). There were significant differences in the causes of hospitalization between hospitalization and non-hospitalization (P <0.005), and the proportion of hospitalization-related difficulties was 86 (71.67%) and 105 %) And 79 (58.08%). There was no significant difference in the reasons for over-expenditure of peasants (P> 0.05). The price of medicines was too high for peasants, accounting for 94.64% (74.61%) of the three kinds of economic-level counties , 124 (78.48%) and 111 (67.68%). Conclusion Heilongjiang Province has a higher hospitalization rate of peasants in areas with higher economic level. Economic difficulties and high drug prices are the main factors affecting farmers’ medical treatment.