| 引用本文：周王艳,吉珂,陈家应.我国农村不同收入居民健康状况与生命质量研究[J].中国卫生政策研究,2011,4(5):54-59 |
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| 我国农村不同收入居民健康状况与生命质量研究 |
| 投稿时间：2011-02-22 修订日期：2011-04-03 PDF全文浏览 HTML全文浏览 |
| 周王艳, 吉珂, 陈家应 |
| 南京医科大学医政学院 |
| 摘要:目的：评价不同收入农村居民的健康状况及健康相关生命质量，分析家庭经济对人群健康的影响及其健康问题的特点。方法：采用欧洲五维度健康量表对不同收入农村居民的健康状况进行测量。结果：五维度任一维度存在问题的比例随着收入的降低而增高，而VAS评分也随之降低。低收入阶层在两周患病率、慢性病患病率、年需住院率三个指标上呈现出“三高”的现象，应住院未住院率则随着收入的降低而增高。结果提示，低收入阶层存在的健康问题多，对卫生服务的需要高但利用低，女性人群有健康问题比例较男性高。结论与建议：经济收入对居民有较大的影响，要关注低收入老年人群和女性群体，政府应该完善健康保障制度，强化医疗救助政策，降低低收入人群卫生服务的经济障碍，提高健康和卫生服务利用的公平性。 |
| 关键词:健康状况 健康相关生命质量 欧洲五维度健康量表 收入 |
| 基金项目:国家自然科学基金项目（70873064） |
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| The health status and quality of life of rural residents under different income in China |
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| School of Health Policy and Management, Nanjing Medical University |
| Abstract:Objective: To evaluate health status and health related quality of life (HRQOL) of rural residents under different income, and analyze the impacts of family economic status on people’s health and the characteristics of their health problems. Methods: Using EQ 5D to measure the health status of rural residents under different income. Results: With the decrease of income，rates of problems in any dimension of EQ 5D five dimensions increased whereas the VAS scores decreased. Low income people showed a highest percentage at the two week prevalence prior to the survey, chronic disease prevalence and annual hospitalization rates. As people’s income decreased，the rates of non hospitalization but referred went up. The results indicate that low income residents met more health problems, whose health care needs were higher but utilization was low. In addition, the female met more health problems than the male. Conclusion and recommendation: Family income impact people’s health. The elderly and women with low income should be paid more attention. The government should improve health security system and strengthen the medical assistance policy to minimize the economic barriers to low income rural residents in using health service and to improve equity in health and health services utilization. |
| Key words:Health status Health related quality of life EQ 5D Income |
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