| 引用本文：石长敏,郑建,张拓红,等.北京市不同经济水平农村居民基本公共卫生服务利用现状调查[J].中国卫生政策研究,2012,5(8):67-72 |
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| 北京市不同经济水平农村居民基本公共卫生服务利用现状调查 |
| 投稿时间：2012-06-08 修订日期：2012-07-17 PDF全文浏览 HTML全文浏览 |
| 石长敏1, 郑建1, 张拓红1, 管仲军2 |
| 1.北京大学公共卫生学院;2.首都医科大学 |
| 摘要:目的：了解北京市不同经济水平地区和不同家庭收入的农村居民利用基本公共卫生服务的情况，为推进基本公共卫生服务均等化提供政策依据。方法：自行设计调查问卷，选择北京市昌平区和怀柔区作为调查地区。根据经济水平好、中、差，随机抽取农村居民898户3 071人进行问卷调查。结果：在调查涉及的7类22项基本公共卫生服务中，总体利用率高于80%的项目有4项，占总项目的18.18%，低于60%的项目有6项（占27.27%）；不同经济发展水平地区的服务利用率相比较，其差异具有统计学意义的项目有11项（占50%）；近郊农村中不同家庭收入组居民的服务利用率相比较，其差异具有统计学意义的项目有9项（占40.91%）；远郊农村中不同家庭收入组居民的服务利用率相比较，其差异具有统计学意义的服务项目有6项（占27.27%）。结论：北京市农村居民对不同基本公共卫生服务项目的利用差异较大；地区经济发展水平和家庭收入水平影响农村居民对部分服务项目的利用；建议采取措施提高农村基本公共卫生服务的利用率，并弥补经济因素导致的部分服务利用不均等的差距。 |
| 关键词:农村居民 基本公共卫生服务 卫生服务利用 经济水平 |
| 基金项目:北京市教育委员会社科计划面上项目（SM201110025001） |
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| A survey of essential public health service utilization among rural residents of different economic levels in Beijing |
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| Abstract:Objectives：To analyze the essential public health service utilization among rural residents in terms of different economic areas and different income in Beijing; this article aims to offer policy basis for advancing the progress of the essential public health services equalization in Beijing’s rural area. Methods: The self designed questionnaires were used to collect data in Changping and Huairou district in Beijing. In terms of economic development across regions, 898 households with 3 071 rural residents were surveyed. Results： In the investigated 22 basic public health services, the study found that the utilization ratios of 4 services were more than 80% and 6 services were less than 60% respectively. There were statistical differences in the utilization ratios of 11 services between the nearer rural residents and the farther in Beijing. There were statistical differences in the utilization ratios of 9 services among the nearer rural residents with different family incomes. There were statistical differences in the utilization ratios of 6 services among the farther rural residents with different family incomes. Conclusions：The differences are significant in the utilizations in terms of different essential public health services for rural residents in Beijing. The utilization ratios of the same services for rural residents across regional economic levels and family incomes are different. The measures should be taken to enhance the utilization ratios about essential public health services of rural residents and reduces the gap of the services utilization ratios of rural residents with different economic levels. |
| Key words:Rural residents Essential public health service Health service utilization Economic level |
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