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对安徽省三个世行贷款卫Ⅷ项目县 1 80 0户 71 75名农村居民卫生服务需求进行了调查分析。结果显示 :两周就诊率为 2 1 .76 % ,平均就诊次数 2 .2 3 ,未就诊率 1 2 .50 % ;两周患病首次就诊单位分布村级卫生机构占 77.80 % ,乡镇卫生院占 1 4 .90 % ;年住院率为 3 .2 8% ,因经费困难延迟入院或提前出院者占全部住院者的 60 .60 % ,应住院未住院率为 53 .91 % ;居民对卫生服务利用的主要障碍是住院服务得不到经济保障。建议贫困地区卫生机构的布局与调整应以保障居民获得就近、低廉、方便的卫生服务为目标 ;改善卫生服务质量应以加强村级卫生机构管理为重点 ;实施合作医疗保险及医疗救助应以住院补偿为主。
An investigation was made on the health service needs of 1,758 rural residents in 1808 households in Wei-Ⅷ project counties under the three World Bank loans in Anhui Province. The results showed that the two-week visiting rate was 21.76%, the average number of visits was 2.23, the non-visiting rate was 12.5%; the first visit of two weeks’ illness was distributed among the village health institutions, accounting for 77.80% of the township hospitals Accounting for 14.90%; the annual hospitalization rate was 3.28%, due to funding difficulties delayed admission or early discharge accounted for 60.60% of all inpatients, should be hospitalized unincorporated rate of 53.91%; residents of health The main obstacle to service utilization is the lack of financial security for inpatient services. It is suggested that the layout and adjustment of health institutions in poor areas should aim at ensuring that residents have access to affordable, convenient and affordable health services. Improving the quality of health services should be focused on strengthening the management of village-level health institutions. The implementation of cooperative medical insurance and medical assistance should be based on hospitalization Compensation-based.