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目的了解湖北省孝昌县农村居民住院卫生服务利用情况及其影响因素。方法采用入户、面对面访谈方法收集资料,运用SPSS 21.0统计软件对收集的资料进行整理和分析。结果孝昌县农村居民的住院服务利用率为11.24%,单因素分析中住院服务利用率的影响因素为:性别、慢性病、年龄、婚姻状况、受教育程度、活动能力、家庭年均人收入。多因素分析显示:年龄组为<20岁的人群比年龄组为40~59和≥60的人群住院服务利用率低,OR(95%CI)为0.623(0.424~0.915)、0.621(0.470~0.819);不患有慢性病的人群比患有慢性病的住院服务利用率低,OR(95%CI)为0.314(0.241~0.410);生活不能自理的人群比其他组的住院服务利用率高,OR(95%CI)分别为5.365(3.179~9.052)、2.639(1.786~3.899)、2.563(1.807~3.636)1.749(1.275~2.399)。结论农村居民住院服务利用的影响因素主要为慢性病、年龄、活动能力,加强基层卫生机构建设以及增加农村居民的经济收入有利于提高农村居民住院服务利用率。
Objective To understand the utilization of hospital inpatient services and its influencing factors in Xiaochang County, Hubei Province. Methods Data were collected by interview and face-to-face interview, and the collected data were sorted and analyzed by SPSS 21.0 statistical software. Results The utilization rate of inpatient service of rural residents in Xiaochang County was 11.24%. The influencing factors of inpatient service utilization rate in univariate analysis were gender, chronic disease, age, marital status, educational attainment, activity ability and family annual income. Multivariate analysis showed that the utilization rate of inpatient services was lower in the age group of <20 years than in the age group of 40-59 and ≥60, with OR (95% CI) of 0.623 (0.424-0.915) and 0.621 (0.470-0.819 (95% CI) were 0.314 (0.241-0.410). In-patients who could not take care of themselves had higher utilization rate of in-hospital services than other groups, OR 95% CI) were 5.365 (3.179-9.052), 2.639 (1.786-3.899) and 2.563 (1.807-3.636) 1.749 (1.275-2.399), respectively. Conclusion The main influencing factors of inpatient service utilization in rural areas are chronic diseases, age, mobility, strengthening the construction of grass-roots health institutions and increasing the economic income of rural residents, which is conducive to improving the utilization rate of inpatients in rural areas.