中国卫生政策研究
中國衛生政策研究
중국위생정책연구
CHINESE JOURNAL OF HEALTH POLICY
2015年
4期
75-80
,共6页
白云丽%易红梅%张林秀%罗仁福%刘承芳
白雲麗%易紅梅%張林秀%囉仁福%劉承芳
백운려%역홍매%장림수%라인복%류승방
农村居民%视力检查%服务供给%服务利用
農村居民%視力檢查%服務供給%服務利用
농촌거민%시력검사%복무공급%복무이용
Rural resident%Vision care%Primary health facilities%Primary health utilization
目的：分析农村基层医疗卫生机构视力检查服务的可及性对居民视力检查服务利用的影响。方法：利用医疗卫生机构和农户调查数据,采用描述统计和多元回归分析。结果：样本中33．2%的居民自报告视力不良,22．1%的居民曾做过视力检查,86%样本乡镇的卫生院和44%样本村的村卫生室可以提供视力检查服务；回归结果显示,乡镇卫生院提供视力检查服务将显著增加居民进行视力检查的可能性,但村卫生室是否提供视力检查服务对居民视力检查的利用没有显著影响。结论：农村居民对视力检查服务需求很大,但是利用率低。基层医疗卫生机构服务供给不足可能是导致农村居民服务利用率低的重要因素。建议国家继续推进基本公共卫生服务,加强基层医疗卫生服务机构开展基本视力检查的能力,促进农村居民对视力检查服务的利用,改善农村居民视力健康水平。
目的：分析農村基層醫療衛生機構視力檢查服務的可及性對居民視力檢查服務利用的影響。方法：利用醫療衛生機構和農戶調查數據,採用描述統計和多元迴歸分析。結果：樣本中33．2%的居民自報告視力不良,22．1%的居民曾做過視力檢查,86%樣本鄉鎮的衛生院和44%樣本村的村衛生室可以提供視力檢查服務；迴歸結果顯示,鄉鎮衛生院提供視力檢查服務將顯著增加居民進行視力檢查的可能性,但村衛生室是否提供視力檢查服務對居民視力檢查的利用沒有顯著影響。結論：農村居民對視力檢查服務需求很大,但是利用率低。基層醫療衛生機構服務供給不足可能是導緻農村居民服務利用率低的重要因素。建議國傢繼續推進基本公共衛生服務,加彊基層醫療衛生服務機構開展基本視力檢查的能力,促進農村居民對視力檢查服務的利用,改善農村居民視力健康水平。
목적：분석농촌기층의료위생궤구시력검사복무적가급성대거민시력검사복무이용적영향。방법：이용의료위생궤구화농호조사수거,채용묘술통계화다원회귀분석。결과：양본중33．2%적거민자보고시력불량,22．1%적거민증주과시력검사,86%양본향진적위생원화44%양본촌적촌위생실가이제공시력검사복무；회귀결과현시,향진위생원제공시력검사복무장현저증가거민진행시력검사적가능성,단촌위생실시부제공시력검사복무대거민시력검사적이용몰유현저영향。결론：농촌거민대시력검사복무수구흔대,단시이용솔저。기층의료위생궤구복무공급불족가능시도치농촌거민복무이용솔저적중요인소。건의국가계속추진기본공공위생복무,가강기층의료위생복무궤구개전기본시력검사적능력,촉진농촌거민대시력검사복무적이용,개선농촌거민시력건강수평。
Objective:To identify the vision care access in rural primary health institutions and the utilization of vision inspections among rural residents. Methods:Survey data was collected from primary health institutions ( town-ship health centers and village clinics) and households. The descriptive statistics and multivariate regression analysis were applied to analyze data. Results:The household survey data shows that 33. 2% of rural residents self-reported having poor vision, and 22. 1% of rural residents stated that they had ever used vision care (vision screening or vison examinations) . The health facilities survey data shows that 84% of township health centers and 44% of village clinics can provide vision care. The multivariate analysis shows that the vision care access in township health centers is sig-nificantly correlated with the probability of residents’ utilization of vision care, but there is no significant correlation between the provision of vision care in village clinics and its utilization. Conclusions:The vision care access is low in rural China though there is a huge demand therefore. Inadequate supply of primary vision care services in primary health institutions may result in low utilization among rural residents. It is suggested that the government further pro-mote the National Public Health Service Program and strengthen the capacity of primary health facilities to provide primary vision care. To do so, an increase in the utilization of vision care among rural residents can be expected, which would thereby reduce potential losses caused by further vision impairment.
