Analysis On Health Service Utilization And Influence Factors Of New Cooperative Medical System In Liaoning Province

Objectives:To study the rural residents' health service need and utilization who participate New cooperative medical system(NCMS) in Liaoning province. To explor the influence factors related to their health service need and utilization with the appropriate statistical based on the characteristics of the data, and to provide objective and scientific evidences related to policies.Methods:The enlarged household health interview survey data of rural residents of the National Health Service Survey in Liaoning province was described in detail. Two-level logistic regression model was used to explore the influence factors related to two-week prevalence, chronic illness prevalence and health service utilization by patients who were suffering in latest two weeks.Results:Two-week prevalence and chronic illness prevalence of poverties are 11.8% and 9.5% respectively. Persons with or without physician contact within two weeks are 10.23% and 13.20% respectively. Persons with or without hospital admission within twelve months are 3.32% and 33.27% respectively. The primary reasons of patients without physician contact within two weeks and persons without hospital admission within twelve months is poor economy. Main factors related to the two-week prevalence of the rural residents aged 15 years and above are age, gender, age, education and poor or not are the key factors to patients with physician contact within two weeks. gender, age, education, jobs and poor or not are the key factors to patients with hospital admission within twelve months.Conclusion:Economic straitness leads to the higher health service need and lower health service utilization for rural poverties. It is necessary to implement new cooperative medical system and medical financial assistant aiming at the poorest population to improve the situation of health service in rural areas. We should pay more attention to health care for women and the elderly in order to improve the health inequity among different people. It is very important to increase the knowledge of prevention and cure of disease by strengthening health education among the rural residents.