Analysis Of Rural Residents Health Service Demand, Utilization And Health Status In Midong District Of Urumqi

Objectives: 1. The purpose of this study is to understand the health condition, health service demand, utilization and risk factors among rural residents in Midong district of Urumqi. For the government and relevant departments to rational allocation of health resources in national minority areas to provide the reference. 2. Using TOPSIS method and comprehensive index method to evaluate the overall health status in comparison, investigate whether the two methods is applicable to many areas of the health of evaluation. Methods: Using cluster random sampling method, sampling four administrative villages of Midong district of Urumqi, 320 households in the survey of 1200 people during December 2014 to January 2015. Questionnaire is according to the fifth national health services survey of family health inquiry questionnaires combined with the purpose of the study to modify. The study of the health service demand include the two week prevalence rate and chronic disease prevalence survey; Health services utilization includes JiuZhenLv for two weeks and two weeks sick did not see a doctor investigation. Using TOPSIS method and comprehensive index method to evaluate the health related index. Results: 1. Health services demand situation: two weeks prevalence was 26.33%. Except ethnic factors, different gender, age, cultural degree, marital status and different occupations of two weeks prevalence were statistically significant(P<0.05). Chronic disease prevalence rate was 12.92%, the prevalence of hypertension was 9.08%. 2. Health service utilization situation: Two weeks JiuZhenLv was 20.92%. Different age, cultural degree, marital status, people two weeks JiuZhen Lv were statistically significant(P<0.05). Two weeks sick did not see a doctor was 20.57%, the main reason is that light feeling sick. 3. The study using TOPSIS method and comprehensive index method to evaluate health related index respectively, the result is consistent, from high to low in the order are: Xierqu,Xigong, Dapocheng, Xiashahe. Conclusions: Survey area health service demand is higher than the national average, but the health service utilization is low. High blood pressure is not only the most prominent local chronic diseases, and in two weeks, high-risk state. TOPSIS method and comprehensive index method to the overall health of evaluation has good applicability and reliability, which can be used in the assessment of health.