中国卫生资源
中國衛生資源
중국위생자원
CHINESE HEALTH RESOURCES
2013年
6期
424-426,427
,共4页
城镇家庭%卫生服务利用%北京市
城鎮傢庭%衛生服務利用%北京市
성진가정%위생복무이용%북경시
urban households%utilization of health services%Beijing
目的:探讨北京城镇居民家庭卫生服务利用的影响因素。方法:采用多阶段整群随机抽样方法,2011年在北京市西城区14个居委会抽取1424户常住家庭进行入户调查。结果:单因素和logistic回归分析结果显示,影响家庭卫生服务的因素包括家庭成员自我健康评价水平、患病与否、家庭经济收入、医疗自付比例和是否借钱。结论:经济困难还是低收入家庭卫生服务利用低的主要原因,提示政府在考虑提供卫生服务时应更多地考虑低收入家庭,以增强社会公平性;居民自我健康评价低和健康状态差对应的卫生服务利用率低,其主要原因是经济困难,提示健康状况和经济水平存在一定关联。
目的:探討北京城鎮居民傢庭衛生服務利用的影響因素。方法:採用多階段整群隨機抽樣方法,2011年在北京市西城區14箇居委會抽取1424戶常住傢庭進行入戶調查。結果:單因素和logistic迴歸分析結果顯示,影響傢庭衛生服務的因素包括傢庭成員自我健康評價水平、患病與否、傢庭經濟收入、醫療自付比例和是否藉錢。結論:經濟睏難還是低收入傢庭衛生服務利用低的主要原因,提示政府在攷慮提供衛生服務時應更多地攷慮低收入傢庭,以增彊社會公平性;居民自我健康評價低和健康狀態差對應的衛生服務利用率低,其主要原因是經濟睏難,提示健康狀況和經濟水平存在一定關聯。
목적:탐토북경성진거민가정위생복무이용적영향인소。방법:채용다계단정군수궤추양방법,2011년재북경시서성구14개거위회추취1424호상주가정진행입호조사。결과:단인소화logistic회귀분석결과현시,영향가정위생복무적인소포괄가정성원자아건강평개수평、환병여부、가정경제수입、의료자부비례화시부차전。결론:경제곤난환시저수입가정위생복무이용저적주요원인,제시정부재고필제공위생복무시응경다지고필저수입가정,이증강사회공평성;거민자아건강평개저화건강상태차대응적위생복무이용솔저,기주요원인시경제곤난,제시건강상황화경제수평존재일정관련。
Objective:To explore the influencing factors of household utilization of health services in Beijing urban residents. Methods:One thousand four hundred and twenty-four resident families were investigated by multi-stage cluster random sampling in Xicheng District,Beijing in 2011. Results:The results based on univariate and logistic regression analysis showed that influencing factors of family health services utilization included health self evaluation,illness status,family income,medical out-of-pocket proportion and liabilities. Conclusion:The economic situation was the main reason for the low utilization of health services among the low-income families. Health self evaluation and health status affected the utilization of health services too and were related to the economic situation. Government should pay more attention to low-income families.