| ObjectiveBy studying the health services research of peasants in four counties of Henan Province, this paper analyzes health status and related health needs and utilization of health services and measures the ecomomic burden of the peasants in Henan Province in 2007 to provide scientific evidence for carrying out rural health service, making decisions,allocating health service.At the same time, as the baseline data of new rural cooperative medical scheme, it can be used as fundamental data and basis for the operation evaluation of new rural cooperative medical scheme.MethodsIn the year 2007,Health services investigation has been carried out in four counties that the new rural cooperative medical scheme had not covered, which completed the investigations of the socio-economic status,health resources and health services.In the four counties, multi-stage stratified cluster sampling method has been used, and four counties,20 townships,100 villages have been determined as research sites.The data has been collected using the questionnaire about family health status and health sector survey. After finishing the primary data, all valid data has been input to establish a data base and then analyzed using EXCEL and SPSS11.5.Results1. The health status of rural residents:(1)The residents'two weeks'prevalence was7.90%, sex, age, education level, areal distribution are the main factors affecting the prevalence. (2)the prevalence of chronic diseases in rural area was11.88%, the top several chronic diseases are hypertension, cerebrovascular disease, disc disease, gastroenteritis, diabetes, chronic bronchitis, rheumatoid. Marital status, age, education level, areal distributions are the main factors affecting the prevalence of chronic diseases.2. Utilization status of health services in rural areas:(1)The rural residents'two week'consulation was 6.43%, the two week'consulation of patients was 81.29%, the two week'non-consulation of patients was 18.71%.The rate of patients who see a doctor was 62.54%, who take self-health care accounted for 9.45%,who both see a doctor and take self-health care accounted for 18.75%,who did not take any measures accounted for 9.26%.The top three reasons why people did not take any measures were economic difficulties (66.86%), self-inductance mild disease (17.13%), and no effective measures (7.73%).The top three medical organizations where patient to see a doctor were health rooms, stations (40.08%),County urban hospitals (19.94%), towns, streets hospitals (12.65%).(2) The rural residents'annual hospitalization rate was 2.47%, disease (82.12%),injury and poisoning (7.86%) were the main reason for hospitalization, the top three hospitalization divisions were hospitalization (41.04%), surgical Division (23.11%), bone Division (10.38%), hospitalized patients mainly consulted county hospitals (41.65%), prefecture-level hospitals (34.85%) and township hospitals (17.11%).The rate of residents who should be hospitalized without hospitalization was 49.63%, economic difficulties was the main reason, accounting for 76.94%, followed by "no need ", accounting for 18.30%. The overall patient satisfaction with hospital services was good.3. The rural residents'economic burden of disease:The hospitalization costs accounted for 77.43% of the total medical costs, and the outpatient costs accounted for 22.57%. The direct medical costs accounted for 97.92% of the total medical costs, and indirect medical costs accounted for2.08%.ConclusionsThe rural residents'health awareness should be enhanced; chronic disease of residents can not be ignored. Economic difficulties were the major factor influencing health services utilization, the potential demand for medical services is large. In general, direct medical cost is the main economic burden of rural residents', especially hospitalization burden.
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