Analysis On Utilization Of Two Week Duration Health Services And Its Influence Factors Of Urban And Rural Residents In Hunan Province2013

Objective:To know the situation of two-week health services of urban and rural residents utilization in Hunan province and explore the influential factors of health services utilization.Methods:Data were come from the First health services survey of Hunan province in2013.Two-week illness hospital visit rate and self-medication proportion were used to assess the health services utilization of urban and rural residents. Multi-stage sampling was used to calculate the weight and Taylor Series Approach to estimate the variance and confidence interval. Rao-scott adjusted chi-square text and non-conditional logistic regression of complex samples were used to analyze the influential factors were chosen to be the significant level. All the statistical analyses were calculated by SAS9.1software package.Results:The weighted two-week illness hospital visit rate of residents in Hunan province was6.2%in2013, the95%CI:4.20%～8.22%, and the ranks of disease systems between urban and rural were different.The weighted two-week illness hospital visit rate of patient was25.55%(95%CI:19.40%～31.70%). Within different types of two-week illness patients, the hospital visit rate was highest in the new patients of two-week (61.65%), while which was the lowest in the patients who have chronic diseases last two weeks (15.16%). The non-conditional logistic regression showed that two-week illness hospital visit was related to age and marital status.Two-week illness hospital visit patients choose the primary health care institutions as the first option, the proportion of related traditional Chinese medication was extremely low, while the transfusion therapy proportion was up to42.44%(95%CI:29.85%～55.03%).Within the two-week illness patients, the weighted self-medication proportion in Hunan province was51.31%(95%CI:41.59%～61.03%) and the self-medication drug use proportion was96.54%(95CI%:94.11% -98.96%). The non-conditional logistic regression showed that the influential factors of two-week illness self-medication were income level.Conclusions:The weighted two-week illness hospital visit rate of residents in Hunan province in2013was6.21%(95%CI:4.20%～8.22%), while the weighted two-week illness hospital visit rate of patient was25.55%(95%CI:19.40%～31.70%), and the weighted self-medication rate was51.31%(95%CI:41.59%～61.03%). The influential factors of two-week illness hospital visit were age and marital status, while the influential factor of two-week illness self-medication was income level.