Survey On Influenza-related Health Services Utilization Of Children In Suzhou

Section1Investigation of health resources distribution status and the situation of health resources of children in Suzhou cityObjective:To understand the health resources distribution and the present situation of the allocation of the health resources related to children in Suzhou city of Jiangsu province, primarily analyze the existing problems about the rationality, fairness and efficiency in the allocation of health resources, and provides reference for the rational allocation of the medical resources.Methods:Firstly, by medical institutions management platform in Suzhou center for disease prevention and control, a questionnaire survey was conducted in184medical institutions in Suzhou city. Secondly, according to the Suzhou Statistical Yearbook2011, the related information in health material resources and human resources would be collected.Results:The numbers of the technical personnel, professional engineer (assistant) doctors; registered nurses of per thousand populations in Suzhou city are higher than the provincial level and national level. At the end of2010, Suzhou city owned nearly2675various health institutions, and Gusu area distributes the most institutions than Xincheng area and suburban counties. The proportion of the health resource utilization in children is high in the total population.Conclusion:The medical and health resources are abundant, but the allocation of that is not reasonable in Suzhou city. Furthermore, the percentage of professional engineer (assistant) doctors and registered nurses still need to improve. Besides, the proportion of the health utilization in children is high in Suzhou city. Section2Investigation on the health service utilization in children of Suzhou cityObjective:To investigate the utilization of health services of children in Suzhou, and explore the risk factors.Methods:By immunization platform of Suzhou centers for disease prevention and control, selected qualified object in the form of random sampling, and carried out the telephone questionnaire survey on the children who were less than5years in January, October in2012and February in2013. The cross-sectional survey results were analyzed with descriptive epidemiology method.Results:The incidence rates of ILI in children less than5years in the surveys were7%、6.7%、5.1%; and the consultation rates of ILI in children were83.2%、73.7%、85.0%. The proportion that children went to the district hospitals and community health service centers was higher than any other medical institutions. The percentage in self-treatment reached25.9%. That the parents judged the children’s condition and thought they did not need to go to the medical institutions was the main reason that the children did not see the doctors. In the second cross-sectional survey of October in2012, the incidences of fever rhinorrhoea diarrhea and influenza-like illness were11.8%、6.5%、1.8%、6.7%of children in the previous one month. The rate of hospital visit when fever occurred was the highest in Suzhou children (70.7%); then followed by that of vomit and diarrhea. If children got fever, cough or rhinorrhoea, vomit or diarrhea, the rate of the parents would visit doctor were54.6%、36.8%、59%. The most common behaviors of those not to visit hospital was Self-treatment.Conclusion:The incidence rate of influenza-like illness cases in children under5years is high, and the consultation rate in the children is higher than the general population. The level of health services utilization in ILI cases still needs to improve. For the diseases in respiratory and other digestive tract, the incidences of influenza-like illness and other common symptoms were high in Suzhou children; there exist substantial regional disparities in medical seeking behavior.