Analyse For Health Services Need And Health Services Utilization And Research For It's Relative Influence Factors For City And Village Resident Living In Yunyang Country Town, Chongqing

ObjectiveIn order to find out health service state of city and village resident living in ChongQingYunYang country town, to evaluate the health service need and untilization influence factors in this city .We can provid a strong objective and scientific reference and relative suggestion for instituting health service policy.MethodWe take out a part of city and village resident living in ChongQingYunYang country town to make national household health interview survey by stratified sampling method. To find out the social demography character, calculate two weeks prevalence,chronic illness prevalence, persons with physician contact within two weeks and persons with hospital admission within tewelve months .Influence factors, condition of physician contact, reasons of non-physician conctact of two weeks prevalence,chronic illness prevalence, persons with physician contact within two weeks and persons with hospital admission within tewelve months were analyzed by Chi-square test(χ2test), evaluate the health service need and untilization influence factors by combing with document retrieval analysis. Non- condition logistic regression was used to analyz numerous influence factors.Result(1)Information of two weeks prevalence: Two weeks prevalence(14.11%) was higher than the average level of countryside(13.71%) and lower than the average level of city(18.7%)during the national health service survey in 98 years.The curve of sex and age-specific two weeks prevalence showed U shape. The rates of female were higher than the male in every groups.The anterior three diseases are respiratory system (7.81%), digestive system (2.10%) and connective tissue system(1.38%) by systematic specific two weeks prevalence.This investigation result was similar to the village resident of national health service survey in 98 years. Mono-factor analysis showed: the sociology influence factors, such as age, sex, education, marriage, income per-year, shortest distance from clinic were significant different in two weeks prevalence. (2)Information of persons of physcian contact within two weeks and persons with hospital admission within tewelve months: person with physician contact within two weeks was 11.22%, persons with hospital admission within tewelve months was 7.48%. The curve of sex and age-specific person with physician contact within two weeks showed U shape. The rates of female were higher than the male in every group. Mono-factor analysis showed: the sociology influence factors, such as age, sex, marriage, culture, shortest distance from clinic, were significant different in person with physician contact within two weeks and persons with hospital admission within tewelve months.The main reasons of not visiting a doctor and going to hospital was poor economy and that the patients consider the illness was mild, 10% of resident treated themselves. (3) analyz numerous influence factors of Non- condition logistic regression showed that the main influence factors were age, marriage, income, culture and sex.ConclusionThe special feature of health service state of city and village resident living in ChongQingYunYang country town was the mortality went up obviously, the health service untilization was deficient, the health service need should change to health service demand further.The groups which most need community health service in ChongQingWuShan country town were older residents,less educated residents,poor residents and residents suffering from chronical illness.Medical health service accessibility, economy, environment and health behavior were improtant influence factors of health service need and utilization. Suggestions:improve local economy strongly, drive health service level hibher by the economic progress,increase basic medical institutions, try to establish a new mode of countryside community health service, carry out the reform of medical ensurer system which the poverty peasant need, reinforce health education, train and teach by different kinds of gradation and form to improve the whole level of practitioners in countryside.