摘要
目的了解浙江省农村老年人的卫生服务利用状况及医疗费用负担,为相关措施制定提供依据。方法 2009年10-11月,采取分层随机整群抽样的方法,对舟山及温州市的农村老年人进行入户问卷调查,调查的主要内容包括一般人口学资料、家庭基本情况、就医的可及性、卫生服务需求和利用。并对老年人2周患病率、就诊率、1年内的住院情况及影响住院因素、医疗费用等进行分析。结果调查2184名老年人,2周患病率为53.9%,其中慢性病延续到2周内的占83.4%,患病就诊率为81.7%。就诊首选的医院是村卫生室和镇卫生院,占74%,选择上述医院的主要原因是距离近(占57.1%);调查前一年内住院率为14.3%,选择在县医院、市及以上医院的分别占44.3%、44.2%。2周医疗费用支出中位数为70元,因经济困难未治疗者占24.2%;调查前一年内住院费用的中位数是7000元。在住院患者中,家庭收入低者明显低于中等收入者。结论慢性病是影响农村老年人健康的主要原因;经济状况是影响老年人就医的主要因素;老年人门诊医疗主要考虑方便性,住院医疗首选县级以上医院。
Objective To understand utilization status of health services and medical expenses of the rural elderly people in Zhejiang province and provide the basis for medical policy. Methods The cluster stratification sampling was adopted and household survey was used among rural elderly people in Zhoushan and Wenzhou during October and Novenber 2009. The contents of the questionnaires included general demographic information, basic situation of families, availability of medical service, demand and utilization of health service. Two-week prevalence, two-week consultation rate, annual admission rate and influencing factors, medical costs were analyzed. Results Two-week prevalence rate of 2 184 elderly people was 53.9%, while rate of chronic diseases extended to recent 2 weeks accounted for 83.4%.Two-week consultation rate was 81.7%. The first choice for treatment was village clinics and township hospitals （74%）. The main reason for their choice was the proximity to the hospital（57.1%）. Annual admission rate was 14.3%. The first choice to hospital was the county level and city level, which accounted for 44.3% and 44.2% respectively. The median of two-week medical expenses was 70 yuan. 24.2% of the sick elderly did not visit doctors due to financial difficulties. The median of hospitalization medical expenses was 7 000 yuan. Among the hospitalized patients, the admission rate was lower in patients with low family income than those with middle-income. Conclusion Chronic diseases are the main reason affecting the health of rural elderly. Economic level is the main factor affecting the elderly medical treatment. Convenience to the hospital is primary consideration for outpatients and the county level and city level was the first choice for hospitalization.
出处
《中国慢性病预防与控制》
CAS
2012年第1期51-53,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
浙江省医药卫生科学研究基金(009A139)
关键词
农村老年人
卫生服务
医疗需求
医疗费用
Rural elderly
Health services
Medical demand
Medical expenses
