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目的 社会经济状况,卫生资源,农民医疗服务需求、利用和医疗费用等资料,是制定新型农村合作医疗 基金管理方案的重要依据。为了科学合理的制定新型农村合作医疗基金管理方案,于2003年在河南省18个新型农村 合作医疗试点县开展了社会经济状况调查、卫生资源调查和农民卫生服务调查。方法 通过报表收集社会经济状况,卫 生资源资料;卫生服务调查采用多阶段分层整群随机抽样的方法抽取样本。由经培训合格的调查员入户询问,对住户成 员逐一进行询问调查。结果 与1998年相比,河南省农民的健康状况有所提高,卫生服务利用率也在逐渐上升。住院 卫生服务利用仍然偏低,经济因素对住院服务利用的抑制作用有所加强。结论 住院服务利用不足仍然是农民卫生服 务的主要问题,影响住院服务利用的主要因素是经济收入。
Objectives The socio-economic status, health resources, farmers’ medical service demand, utilization, and medical expenses are important basis for formulating a new rural cooperative medical fund management plan. In order to scientifically and reasonably formulate a new rural cooperative medical fund management program, a survey on social and economic conditions, health resource surveys, and peasant health service surveys were conducted in 18 pilot rural counties in Henan Province in 2003. Methods Data collection of social and economic conditions and health resource data were collected through reports; health service surveys were conducted using multistage stratified cluster random sampling. The qualified investigators who have been trained will be asked to enter the household and the household members will be asked to investigate one by one. Results Compared with 1998, the health status of farmers in Henan Province has improved, and the utilization rate of health services has also gradually increased. The utilization of in-hospital health services remains low, and economic factors have a stronger inhibitory effect on the use of hospital services. Conclusion Insufficient utilization of inpatient services is still a major issue for farmers’ health services, and the main factor affecting the utilization of inpatient services is economic income.