What limits the utilization of health services among the rural population in the Dabie Mountains- evidence from Hubei province, China?
What limits the utilization of health services among the rural population in the Dabie Mountains- evidence from Hubei province, China?
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DOI：
10.1186/1472-6963-14-379
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发表时间：
2014-09-10
影响因子：
2.8
通讯作者：
Zou X
中科院分区：
文献类型：
--
作者：
Fang P;Han S;Zhao L;Fang Z;Zhang Y;Zou X
生活在农村山区的个人往往较少利用保健服务来管理不适或疾病。本研究的目的是找出最能解释中国大别山区农村人口卫生服务利用的变量。为了解大别山区某贫困乡镇居民卫生服务利用情况，对该乡镇居民进行了横断面入户调查。共有1,003名15岁或以上的居民在调查前两周内感到不适，被纳入分析。采用χ2检验和二元Logistic回归分析影响卫生服务利用的因素。有51.2%的被调查者在感到不适时没有使用过卫生服务，高于第四次全国卫生服务调查的数据。使能变量在预测卫生服务利用率方面发挥了重要作用。与卫生服务利用率增加相关的因素包括年龄较小、前往最近诊所的时间较长以及家庭净收入较高。为减少老年人卫生服务利用差异，应改变老年人的观念和态度;提高新型农村合作医疗的报销水平，减少老年人卫生服务利用的经济障碍。
Individuals living in rural mountain areas tend to use health services less to manage discomfort or illness. This study aims to identify the variables that best explain the health service utilization of a sample of the rural population in the Dabie Mountains in China. To obtain information about health service utilization, a cross-sectional household survey was conducted using face-to-face interviews among the residents of a poor town in the Dabie Mountains. A total of 1,003 residents aged 15 or more, who had felt unwell in the last two weeks before the survey, were included in the analysis. The χ2 test and binary logistic regression were used to analyze the factors influencing health service utilization. A total of 51.2% of those surveyed had not used health services when they felt unwell, higher than the data reported in the 4th National Health Services Survey of China. Enabling variables played an important role in predicting the utilization of health services. Factors associated with increased health service utilization included being younger, travelling longer to the nearest clinic, and higher household net income. To reduce disparities in health service utilization, (1) some effort should be made to change the perceptions and attitudes of older people; (2) reimbursement levels of the New Rural Cooperative Medical Care System should be improved to reduce economic barriers to health service utilization.
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