【摘要】 目的 :了解成都市贫困居民卫生服务需求与利用现况 ,及其对开设家庭病床服务的态度 ,为政府决策提供科学依据。方法 :采用分层定额抽样方法 ,抽取 4个不同类型的社区 ,以入户调查和面对面访谈的方式共调查居民 4 17名 ,比较贫困居民和普通居民在卫生服务需求和利用方面的差异 ,并了解他们对家庭病床的认识。结果 :贫困人群卫生服务利用低于一般人群并且疾病经济负担较重。年龄、文化、经济状况和日常活动能力是影响家庭病床使用的因素。结论 :家庭病床被居民认作一种行之有效的减轻疾病经济负担的治疗方式 ,应尽快纳入医疗保险范畴更多还原

【Abstract】 Objective:To investigate the health demands and use of health care services by the residents living in poverty and their attitudes towards hospitals-at-home;and to support policy making process of governments.Methods:Stratified quota sampling was used to select four communities,representing different community health service models.A face to face interview was conducted in 417 residents using a structured questionnaire.Comparisons between residents living in poverty and in average were undertaken to reveal the differences between the two groups of population in health demands and health care utilization.Results:The residents living in poverty were less likely to use health services than those population in average.The poverty population also bear heavier financial burdens in seeking health care than other.Age,deucation degree,economic status and daily activity ability were influential factors of hospitals-at-home.Conclusion:Hospitals-at-home is seen as an effective approach that could ease financial burdens caused by diseases and should be brought into the insurance schemes as soon as possible.更多还原