The Strategy Research Of Health Development In Chinese West Area Countryside

OBJECTIVES: Based on the literature material and scene investigation data abouthygiene condition in Chinese east, center and western area countryside, the disparityof hygiene condition was analysed. On the the foundation of scene analysis to thewestern area countryside hygiene condition, the primary influenced factor ofinhabitant health and the main question faced in the countryside health developmentwere analysed systemly, the total funding investments and the invested strategy wereplaned, which surveys the solution and the policy-making basis for the nationalformulation about the health development plans and investment in the western areacountryside from 2010 to 2020.METHODS: According to the referenced material and the scene investigationmaterial, using the method of statistics description and disparity analysis to the east,center and western area countryside about health present situation, and using the datamaterial of MEDOW (the monitor research in social and economical development ofwest), the logistic regression analysis was carried on and the main reason wasanalysed which affects the health condition in western area countryside inhabitant.IMPORTANT FINDINGS:1st, the health disparity is huge in Chinese east, center and western area, the averagelife expectancy in most western province in 2000 could not achieve the nation level in1981, which differed nearly for 20 years. The pregnant mortality rate in western areain 2004 was equal to the nation level in 1992, which differed nearly for 12 years.2nd, the using of health service in western area countryside is low, the rate ofnon-hospitalization in countrysides of 11 west provinces is 45.0% in 2003, which is1.5 times higher than the national average level. The rate of hospitalized pregnant inwestern area countryside in 2003 is at the nation average level in 1985, which differsfor 18 years.3rd, the health service supplies ability in the western area countryside is insufficient, the rural doctor number per thousand agricultural population is 0.87 in west 12provinces in 2004, which is only 82.9% of the east. The doctor number per 10 squarekilometers is 0.73 in west, which is only the national average level 37.4%.4th, the financial resource is insufficient in western area countryside, and the publichealth in this area can not be developed. The income ability of the county and thetownship medical establishment in the mid-west area obviously is lower than theeastern area.5th, according to the MEDOW investigation, the 30 days prevalence rate is 175‰,and the chronic prevalence rate is 211‰(according to population) in the western areacountryside.6th, after the logistic regression analysis, the yearly higher income for family perperson, the using of health restroorn, the education level, the using of running water,the family cultural entertainment facility and the transit tool are all the protectionfactor for the inhabitant health. The higher age is the dangerous factor. The medicalinsurance affects the behavior of the inhabitant to see a doctor or not.7th, based on the scene analysis, the intervention ideal scene is most superiorcombination in all possible patterns, which results the harmonious development of thehealth and other social external environment, which is advantageous to equalitify thepublic health.