不同地区农村居民医疗服务需求与利用现况比较研究

目的 评估不同地区农村居民需求与利用情况,为农村卫生改革与建设提供依据.方法 以CMH卡方检验分析各地区的差异,以CHI-SQUARE进行地区问的两两比较.结果 我国农村4类地区人群医疗服务的利用水平呈现与需求相反的趋势,提示经济水平越低的地区,农民医疗服务供求关系越不合理,卫生服务存在不公平.结论 农村医疗服务需求与供给不平衡;农村卫生服务系统内部存在不公平;卫生筹资政策要有所侧重.

Comparative Study on Health Service Demand and Utility of Rural Resident in Different Areas

OBJECTIVE To evaluate the health service demand and utility of rural resident in different areas and provide argument for the innovation and construction of the rural health system. METHODS Analyzing the discrepancy in different areas with CMH CHI-QUARE criterion and compare the difference with CHI-SQUARE criterion in every two areas. RESULTS In the countryside, the health service utility of the four groups areas is just the reverse of the demand, which suggesting that the health service supply and demand relationship is illogical on account of the underdeveloped economy. There is inequity in the health service system. CONCLUSIONS The demand and supply relationship of the rural health service is imbalance; There is inequity in the rural health service system; The healthy financing policy should emphasize particularly on some aspects.