Research Of Poverty Colony Utilization Health Services And Quality Of Life Prevalence Of Zhengzhou In 2005

Background and purposesThe concern of poverty colony health of the global system began in the 20th century 1970s to 1980s. The health problems of the poverty colony were concerned by many policy makers and researchers in the global. Some international health strategy improved to the health of poverty colony for the first time, the focus of research areas, directly aimed at poverty colony the cause of death and quality of life. Until the last century, the early 1990s, the problem of poverty had always been seen as a rural phenomenon in our country. However, with China's economic structure adjustment significantly, the process of urbanization has accelerated, turned the advance time urban poverty population increased sharply in quantity, a complex, in addition to urban laid-off and unemployed personnel, from rural to urban living life with no or low income, illness or accident to the poor, because of the injuries, disabled, childless elderly people, and so on. made poverty in many cities increasingly prominent, Zhengzhou city also faces the same problem. Urban poverty became more apparent, it not only goes against the principle of social equity , but also doesn't conform to Chinese social development of the basic objectives, it was the risk factors of social stability and harmonious development. In-depth studies of urban poverty groups were significant to the building of harmonious society.This study used the index system of international, demand for health services, health resources utilization and domestic comparable quality of life from the angle of medical community and public health, to investigate and analysis quality of life, health services for the status of the poverty colony in Zhengzhou and to explore the utilization of health services, affect quality of life factors and the prevalence of the problem. It was for the government departments to formulate and improve relevant policies crowd of poverty, provided the region to develop and improve health services. established and improved community health service management system and construction of the poverty colony social support networks. It can improve the poverty colony quality of life and to build a harmonious society together.Methods1 Investigated objects and the contents: The investigations were the poverty group and the control group in Zhengzhou. The contents were the health conditions, the main cause of poverty, health care utilization and quality of life. The health services survey was adopted by poverty group, old than 18-year-old crowds was investigated by the quality of life survey at the same time, the control group only accepted quality of life survey.2 Survey methods: Typical cluster sampling method was used. Thirty percent of the poverty population in Zhengzhou by the end of 2004 were sampled, 990 families (about 2000 persons) of the poverty population sample, and 1500 general population samples.3 Investigated tools: The third National Health Service family health survey questionnaires were adopted. The SF-36 universal (Chinese version) health status scale was used in Quality of life survey.4 Investigation periods: Investigation scene period was from February to March 2005.5 Statistical methods: SAS9.13 software tools were used to the scene described the basic data and inferential statistics, indicators for the inferred efficacy testing.ResultsThe actual results of the investigation scene: "minimal assurance" family 904, a total of 2,318 persons, lessees' population 2.6. The men were 1,096 and the women were 1,222. The average age of the poverty colony was 37.0 years old.1 Utilization of health services and quality of life conditionsThe poverty colony's two weeks prevalence rate was 262.7‰, the prevalence rate of chronic diseases was 459.0‰. Higher than 2003 cities nationwide sample survey two weeks prevalence rate of 164.6‰, the prevalence of chronic diseases was 293.0‰. Household survey, about 40% of the poverty families have one or more chronic diseases or patients; 31% of poverty families have disabled person.Two-week prevalence attendance rates, a two-week prevalence not attendance rates, the rate of hospitalization, and should live without hospitalization rates were 17.0%, 63.3%,4.9%,76.8%,70.7% patients were discharged by their own requirements. Self-discharge requirements were mainly due to economic difficulties, accounting for 92.3% .Note economic difficulties limit their use of medical resources is a major factor.In Zhengzhou city, the poverty colony quality of life of the reasons for the decline, 49% was due to chronic disease and two weeks prevalence. The role of the chronic diseases accounted for 34%. Diseases of the circulatory system, the nervous system and sensory diseases were diseases of poverty colony control focus.The poverty colony's quality of life in Zhengzhou was much lower than the control group and the level of cities in the country. Special was a 65-year-old age groups above poverty, their quality of life much lower than the reference population (the elderly poverty colony in Shenyang ). Hierarchical comparison shows that age : the older the physiological functions of the average level was very low, shows that group because of physical health problems severely limited life. In an interview found that the elderly poor were completely lost the ability to work, some people lose the ability to care for themselves. They were alone at home during the day, unattended. Widows and single accounting for a large proportion of sick detractors, on some cheap to maintain or expired drugs, poor living conditions.2 Distribution of the diseaseIn 2005, the prevalence rate of poverty colony chronic diseases of Zhengzhou in front six were :①diseases of the circulatory system,②muscle, skeletal system and connective tissue diseases,③the nervous system and sensory diseases,④psychosis,⑤diseases of the digestive system,⑥diseases of the respiratory diseases. The spectrum distribution of diseases was different from the national cities survey in 2003.3 Causes of poverty and problemsUnemployment, sickness, disability was "minimal assurance" the main reason for poverty families, followed by their children to school, widows, low cultural level.Unemployment, sickness, disability was "minimal assurance" the main reason for poor families, followed by their children to school, the orphan, low cultural level. Meanwhile there are unemployment, disease and injury to school children at the average household living in extreme difficulties. Long-term chronic problems and high medical costs burden for poor families at a "Poor caused by illness, disease and poverty are intertwined, "the vicious cycle of urgent assistance. The poverty colony disproportionately high unemployment, many families were zero employment families, in addition to the "minimum guarantee money", low income and the source of instability. Reemployment work and social security work was not in place. The community to provide technical guidance and training programs and the jobs were recommended to the poor families unable to meet the needs of them. In urban cost of living were relatively high, the conditions, the majority of poor families, jobs, and getting your doctor, your children's school fees et al. These main problems affect them out of their poverty.ConclusionsThe poverty colony in Zhengzhou has a large of the health services requirements, demand for health services and utilization for health services have been seriously inhibited. This group was lower quality of life than the control group and the level of cities in the country. The diseases spectrum was different from the national cities survey in 2003. Basic social security system was unsound and weak social welfare measures. Recommendations: The basic medical insurance as the main framework, and gradually putting poverty groups into the basic medical security system, governments strengthen the building of community health, improve the health services and to cultivate a community general practitioners and community nurses. The government should pay more attention to city poverty crowd of health services in the use of resources and quality of life, social development indicated that the aging trend was obvious, particular attention must be paid to 65-year-old poverty groups. The government increased investment management, currently expand public to be badly in need of the government to solve, welfare issues (with urban construction simultaneously), solve the poverty of isolated and without any ability to take care of themselves admitted to the disabled, along with the medical staff. The developed countries and regions, we must narrow the gap in order to realize social progress and social harmony development.