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目的通过调查江苏省高邮市不同级别医疗机构住院患者的基本情况,了解高邮市群众对卫生服务的需求和利用现状,为江苏省农村卫生适宜技术推广示范研究提供实践依据。方法抽取高邮市人民医院、市二院、市中医院及2个乡镇卫生院某一天当日全部住院患者进行问卷调查,收集住院患者的一般信息、诊疗信息等,并对所获取卫生服务需求及利用情况的数据进行统计学分析。结果不同级别医院住院患者在文化程度、职业分布、付费方式、住院科别及罹患疾病系统不同,差异有统计学意义(P<0.05)。农村住院患者在收入低于县城住院患者。结论农村居民依然是县乡医疗机构主要使用者,应尽快推广面向农村居民的卫生适用技术,尤其选择一些费用低、易于开展的卫生技术十分必要,以进一步提高基层医疗卫生水平。
Objective To investigate the basic situation of inpatients at different levels of medical institutions in Gaoyou, Jiangsu Province, and to understand the demand and utilization status of health services by the masses in Gaoyou, so as to provide a practical basis for the demonstration research of appropriate technology for rural health promotion in Jiangsu Province. Methods All the inpatients in Gaoyou People ’s Hospital, the Second Hospital, the Second Hospital of Chinese Medicine and two township hospitals were surveyed to collect the general information and treatment information of inpatients, and the demand and utilization of the acquired health services The situation of the data for statistical analysis. Results The hospitalized patients in different levels had different degrees of education, occupational distribution, payment methods, hospitalization and disease system (P <0.05). Inpatients in rural areas have lower incomes than in-town patients. Conclusion Rural residents are still the main users of medical institutions in counties and townships. We should promote the appropriate health technologies for rural residents as soon as possible. In particular, it is necessary to select some health technologies that are low in cost and easy to carry out in order to further improve the level of medical care at the grassroots level.