The Poverty In The Countryside And The Elderly Health Service Need And Utilization Research

Background:By the sixth population census data shows, Guizhou aged 65 years and older population is 2977216 people, accounting for 8.57% of the total population.According to the international on the ageing in the population aged 65 and over 7% of the total population of the division standard, Guizhou province has entered the aging society.In 2009 Guizhou province enjoy rural minimum subsidy of 2230000 people, of which 762000 elderly persons.In each of the 7 poor farmer, Guizhou accounted for 1; in Guizhou,8 farmers in 1 is impoverished population.Objective:To understand the minority area of Guizhou province poverty elderly health service need and utilization status, for the government to formulate the elderly health care policy provide scientific basis.Methods:The data were collected.using literature method, interview method. The method focuses on the minority areas of Guizhou province county rural health service need and utilization.Access method for structured access using a self-designed questionnaire, individual, in 2011 July in Shibing County willow town three Miao village in face-to-face interviews at the end of 2010 depressed older general condition, medical insurance (medical and medical assistance), health status and health service utilization of the relevant circumstances.Local health workers as Miao translation.In addition, with the County Health Bureau, Willow Pond hospital, collect fine clinic related staff have an informal discussion, understanding and utilization of health services related to information.Results:A total of 85 elderly persons into poor, wherein, Poverty Alleviation Office finds that the poor households accounted for 5.9%, the civil affairs department found that the minimal assurance households accounted for 81.2%, both of which are accounted for 11.8%, the civil affairs department found that five households accounted for 1.2%.Male 48.2%, female 51.8%.60-69 years between older people account for 45.9%,70-79 years accounted for 43.5%,80 years old and above 10.6%.Self rated health accounted for 37.6%, generally accounted for 42.4%, accounted for 20%.In disability, walking on the need to help account for 16.5%, hearing disorders accounted for 35.3%, he spoke with difficulty accounted for 27.1%, visual acuity above moderate difficulties accounted for 52.9%.Two week prevalence rate is 63.5%, where male two week prevalence rate of 48.1%, female two week prevalence rate is 51.9%; the prevalence rate of chronic disease was 42.5% for males, 57.5% for females with; chronic disease, rheumatoid arthritis, chronic gastroenteritis, acute accounted for 26.7%,6.7%,4.4% other types of heart disease.Two week visit rate of 27.1%, an attendance rate of 33.3%.Within six months of emergency rate of 10.6%, annual hospitalization rates 2.4%, should be admitted to the hospital without hospitalization rate 1.2%.Conclusion:National rural impoverished elderly health service demand, utilization of health services in low degree.Policy recommendations:The relevant government departments should be directed to the rural poverty in elderly people with chronic disease and disability, disease characteristics, formulate corresponding measures to prevent chronic diseases and disability; for not visiting rate high phenomenon, give policy, financial support.