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[目的]了解“城中村”人群的卫生服务需求和利用情况,为合理配置卫生资源、有效开展卫生服务提供依据。[方法]以问卷调查与访谈相结合方法,对广州市白云区4个具有“城中村”特征的社区986名“城中村”人群进行调查。[结果]调查人群两周患病率为11.8%,两周就诊率为7.1%,住院率为4.3%,其中村民和外来人口3方面差异均无统计学意义,但在患病种类和慢性病患病率等方面差异有统计学意义。[结论]“城中村”人群卫生服务利用率明显低于卫生服务需求,政府需要针对城中村特点,积极采取社会卫生政策来保障“城中村”人群健康需求,促进社会和谐发展。
[Objective] To understand the demand and utilization of health services in “villages within villages” and provide basis for rational allocation of health resources and effective health service. [Methods] By means of a combination of questionnaires and interviews, we investigated 986 community-based villages in the “village with a city” feature in Baiyun District of Guangzhou City. [Results] The two-week prevalence rate was 11.8%, the two-week visiting rate was 7.1%, and the hospitalization rate was 4.3%. There was no significant difference in the three aspects between villagers and non-native population. However, The incidence of the difference was statistically significant. [Conclusion] The utilization rate of health service in “village in city” is obviously lower than that of health service. The government needs to take the social health policy actively according to the characteristics of city village to ensure the health demand of “city village” and promote the harmonious development of society.