Study On Equity Of Health Service Utilization Among Rural And Pastoral Residents In Inner Mongolia Cha You Zhong Qi

Though the study of an equity analysis of health services utilization among rural and pastoral area residents in Inner Mongolia Cha You Zhong Qi,we can conclude the current situation of health service utilization,influence factors and equity of health utilization.Analyze current allocation of health resources,aim to finding the existent problems and weakness,put forward policy suggestions to improve the utilization of health services,improve the residents'health service fairness,so as to improve the residents' health conditions and provide objectives for the health service further development.Methods:This investigation' object area is a county in Inner Mongolia,named Cha You Zhong Qi.A total number of 982 residents from 321 families were extract in four counties select by random sampling.This questionnaire is based on the National Health Committee questionnaire survey,and the investigation object is live in the rural and pastoral area for more than one year.Use SPSS20.0 analyzes the data.Use Pearson chi-square test and Logistic regression analysis the influence factors.Use the Concentration Index to analysis the equity of health service utilization.Result:(1)The population's two week morbidity rate was 14.05%,the rural and urban area's two week morbidity is 20.2%and 10.59%,lower than the fifth national health services survey.(2)The two week visiting rate of residents was 10.59%,the rural and urban two week visiting rate is 12.8%and 13.3%,lower than the fifth national health services survey;26.67%of patients did not visit a doctor who were sick during the last two weeks,the rate slightly lower than national health services survey,outpatient health service utilization level is low,the proportion of self treatment was higher.(3)Over the past year the hospitalization rate of residents was 14.05%,higher than the fifth national health services survey of urban and rural area(9.0%);The rate of no hospitalization is 24.63%,higher than the fifth national health services survey,Economic difficulties is the main reason of patients were not hospitalized.(4)The health institutions which participants during last two weeks have higher proportion were city-level medical institutions and private clinics,the proportion of township hospitals is the lowest;The institution utilization rate of county hospitalized during last year account for a highest proportion,the township hospitals is lower.(5)The concentration index showed that the different income groups of two week visit CI rate is 0.05665,relatively larger,indicated that the higher income group was relatively use more health service,equity of outpatient health service is weak;The CI rate of hospitalization is0.00133,close to 0,suggested that the utilization of inpatient services in different income group is relatively fair.Equity of inpatient health care utilization was superior than outpatient health services utilization.(6)Logistic regression analysis showed that sex,age,health insurance type,income and distance from the nearest medical point were main factors impact health service utilization.Conclusion:(1)The two-week morbidity rate was lower than the average of the fifth national health services survey,the health service utilization is relative low,two week unvisiting rate is slightly lower than national health services average,the two weeks patients with a higher proportion of self-treatment,indicated health service demand is big.(2)The flow of patients medical treatment was unreasonable,the township hospitals utilization is low,the utilization rate of rural three-level medicine institutions is limited.(3)The new rural cooperative medical system stimulate the residents' health service utilization,and the investigation show that economic level is the most important factor which affect residents'health service utilization.(4)Health service accessibility was the important factor affect the probability of residents who have health demand.(5)The survey shows that the equity of inpatient health service utilization is better than outpatient,the equity of outpatient health service should be attention.