CAJ | 학술논문

目的：了解妇女重大疾病预防保健现状，分析影响妇女重大疾病预防保健因素，为预防妇女重大疾病、促进妇女健康提出建议。方法选取2013年3—4月在西安某三级甲等医院住院的352名女性生殖系统癌症及乳腺癌症患者为调查对象，应答327名妇女，采用问卷调查、电话随访形式进行调查。将问卷调查结果所得数据按疾病检出途径、城乡等进行分组，并进行统计学分析。结果327名妇女癌症住院患者仅有27．21％是健康体检途径查出疾病的。35～65岁是妇女重大疾病的高发年龄。城乡妇女的文化水平和家庭人均月收入均有显著差异，农村妇女进行妇女健康体检的比率低于城市妇女，对妇女健康体检的认知也比城市妇女差。城乡妇女参加医疗保险的比率很高，但是覆盖妇女健康体检报销的比较少。讨论与建议加强妇女重大疾病预防保健的宣传力度，提高宣传效益；强化和完善基层卫生机构职能作用，以“考评”促预防保健工作的落实；深化基本医疗保险服务改革，建立妇女重大疾病预防保健机制、完善妇女健康体检制度、调整医疗保险服务包，将保险费用适度向预防和早期治疗投入。
목적：료해부녀중대질병예방보건현상，분석영향부녀중대질병예방보건인소，위예방부녀중대질병、촉진부녀건강제출건의。방법선취2013년3—4월재서안모삼급갑등의원주원적352명녀성생식계통암증급유선암증환자위조사대상，응답327명부녀，채용문권조사、전화수방형식진행조사。장문권조사결과소득수거안질병검출도경、성향등진행분조，병진행통계학분석。결과327명부녀암증주원환자부유27．21％시건강체검도경사출질병적。35～65세시부녀중대질병적고발년령。성향부녀적문화수평화가정인균월수입균유현저차이，농촌부녀진행부녀건강체검적비솔저우성시부녀，대부녀건강체검적인지야비성시부녀차。성향부녀삼가의료보험적비솔흔고，단시복개부녀건강체검보소적비교소。토론여건의가강부녀중대질병예방보건적선전력도，제고선전효익；강화화완선기층위생궤구직능작용，이“고평”촉예방보건공작적락실；심화기본의료보험복무개혁，건립부녀중대질병예방보건궤제、완선부녀건강체검제도、조정의료보험복무포，장보험비용괄도향예방화조기치료투입。
Objective To understand the status quo of women ’s serious disease prevention and health care , analysis of factors affecting women ’s serious disease prevention and health care , and to give advice for women health promoting.Methods Selecting 352 patients with gynecological cancer and breast cancer in a first -class hospital in xi’an as investigation objects , in the form of questionnaire survey and telephone follow -up investigation.Results Only 27.21% of 327 women cancer inpatients find out the disease through healthy check -up way.The age of 35 -65 is high risk for women.The cultural level and family per capita income of urban and rural women all have signifi -cant difference, the ratio of rural women in the women’s health check -up is lower than the urban women , and the cognition of the women’s health check -up to urban women is poor.The ratio of urban and rural women to participate in health care is very high, but less coverage of women’s health check -up expenses.Conclusion To enhance the publicity on major disease prevention and health care of women , improve the efficiency of the propaganda ; To strengthen and perfect the functions of grassroots health institutions and to rely on appraisal to promote the implemen -tation of the work of prevention health care ; We will deepen reform of the basic medical insurance service .