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目的了解参保城镇居民两周患者未就诊率的现状及影响因素,为有针对性的了解其潜在的卫生服务需求,做好参保城镇居民医疗卫生服务工作提供参考依据。方法采用分层整群随机抽样的方法,抽取石嘴山市343户共计1133人作为本次调查的研究对象,对实际符合参加城镇医疗保险的居民941人进行家庭健康询问调查。结果参保城镇居民的两周患者未就诊率为53.02%。Logistic回归分析结果显示:文化程度高的两周患者未就诊相对危险度是文化程度低的2.014倍;有慢性病的两周患者未就诊相对危险度是无慢性病的0.423倍。结论石嘴山市参保城镇居民两周患者未就诊率与全国城市居民平均水平相比相对较高。文化程度、是否患慢性病为两周患者未就诊率的主要影响因素。
Objective To understand the present situation and influencing factors of the outpatient visits rate of urban residents in urban areas during the two-week period and to provide reference for the targeted health service needs and the health care services for urban residents. Methods A stratified cluster random sampling method was used to collect a total of 1,133 people from 343 households in Shizuishan City as the research object of this survey. Family health inquiry was conducted among 941 residents who actually met the urban medical insurance. Results The insured rate of non-visiting two-week residents who insured urban residents was 53.02%. The results of Logistic regression analysis showed that the relative educational level of two-week-old patients with high education level was 2.014 times lower than that of the non-chronic illness patients. The relative risk of non-treatment two weeks with chronic diseases was 0.423 times that of non-chronic disease. Conclusion Shizuishan City insured urban residents in two weeks out-patient rate is relatively high compared with the national average level of urban residents. The degree of education and whether or not suffering from chronic diseases are the main influencing factors for the two-week absence rate of patients.