摘要
目的:本研究通过对医改项目实施后宁夏海原县农村居民门诊卫生服务利用现况的调查,为进一步完善新型农村合作医疗制度提供依据。方法:采用二阶段分层随机抽样方法,抽取宁夏海原县17个乡镇76个行政村,每村抽取33户进行入户调查。结果:医改后海原县居民的患病率下降了5.3%,患病就诊率升高了11.9%,首诊选择在村卫生室就诊的构成比增加了24.7%。结论:医改项目明显促进了海原县居民的就医积极性,使得医疗重心得以向基层医疗机构下沉,有效促进了基层医疗机构卫生服务的利用率,在一定程度上增加了农村居民的医疗服务需求。
Objective： The paper studies the influence of the medical reform project implementation in utilization out - patient health service of rural residents in Ningxia. So as to provide evidence for further improving and promoting the New Rural Cooperative Medical System. Methods： Using the two - stage stratified random sampling, 76 administrative village sampling in 17 counties and 33 families were household interviewed in each administrative village. Results： The residents morbidity have felled 5.3% , and visiting rate raised 11.9% , choice in the village clinic visits than increased 24.7%. Conclusion： The medical reform that obviously promoted the residents enthusiasm of go to a doctor, made the medical center of gravity to grassroots medical institutions sinking, effectively promoted the grassroots＇ medical institutions and health service utilization, to a certain extent, increased the demand for medieal services to rural residents.
出处
《医学与社会》
2015年第2期34-36,共3页
Medicine and Society
基金
宁夏卫生厅与哈佛大学合作项目"创新支付制度
提高卫生效益"资助课题
关键词
门诊卫生服务
农村居民
新农合
Out- patient Health Service
Rural Resident
NCMS
作者简介
通讯作者：李正直，Lizz-925@163．com。
