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目的:分析宁夏城乡居民门诊需求和利用情况,解释不同特征人群卫生服务利用的特点和差异。方法:采用多阶段分层整群随机抽样的方法,抽取宁夏1 800户居民(共计5 725人)进行家庭健康询问调查。结果:居民两周患病率为23.4%,多因素分析民族、年龄和慢性病为两周患病率主要影响因素。两周患病就诊率为8.0%,多因素分析收入水平、性别、民族和年龄为两周就诊率主要影响因素。结论:居民两周就诊率低于国家水平,居民门诊卫生服务需要和利用之间并未及时转化,应从卫生服务供方和支持方角度采取有效措施,以提高卫生服务利用率。
OBJECTIVE: To analyze the needs and utilization of outpatient clinics in urban and rural areas of Ningxia and to explain the characteristics and differences in the utilization of health services among different ethnic groups. Methods: A multi-stage stratified cluster random sampling method was used to survey 1 800 households in Ningxia (a total of 5 725 persons) for household health inquiry. Results: The prevalence of residents in two weeks was 23.4%. Multivariate analysis of ethnicity, age and chronic diseases were the main influencing factors of the two-week prevalence. Two-week prevalence rate was 8.0%. Multivariate analysis showed that income level, gender, ethnicity and age were the main influential factors in the two-week visiting rate. Conclusions: Residents ’visits at two weeks are lower than the national level. Residents’ outpatient needs and utilization of outpatient services are not transformed in time. Effective measures should be taken from the perspective of providers and supporters to improve the utilization of health services.