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艾滋病患者和HIV感染者的卫生服务利用现状研究
Utilization of Sanitation Service in Patients with AIDS and HIV Infection
【摘要】 目的:掌握艾滋病(AIDS)患者和人类免疫缺陷病毒(HIV)感染者的门诊量和住院量以及在各级医疗机构的分布,为开展 AIDS 医疗救治提供基础资料一方法:采用访谈法调查 AIDS 患者和 HIV 感染者的门诊量和住院量以及他们在各级医疗机构的分布,进行非 HIV 感染者和 AIDS 患者对照,分析 AIDS 患者和 HIV 感染者的卫生服务利用特征。结果:AIDS 患者、HIV 感染者和健康时照的3个月的就诊次数分别为23.672次、13.549次和2.724次,AIDS 患者和 HIV 感染者高于健康对照(X~2=925.526,P<0.000);AIDS 患者、HIV 感染者和健康对照的3个月住院次数分别为0.593 095次、0.176119次和0.078027次,AIDS 患者和 HIV 感染者高于健康对照(X~2=43.716,P<0.000);AIDS患者、HIV感染者和健康对照在村卫生室就诊的比例分别为80.83%、82-31%和65.72%(X~2=786.425,P<0.000),在乡镇卫生院住院的比例分别是68.19%、84.75%和43.68%(X~2=38.720,P<0.000)。结论:AIDS 患者和 HIV 感染者的门诊和住院服务利用率均高于对照人群;门诊病人集中在村级医疗机构,住院病人集中在乡镇卫生院。病人分布与对照人群存在较大差异。
【Abstract】 To obtain information on the distribution of in-patients andout-patients with AIDS and HIV infection,and provide basic data for treatment of AIDS.Methods:Questionnaires were used for in-patients and out-patients with AIDS patient and HIV infection during consultation and hospitalization,and utilization of sanitation service was compared between patients with AIDS and HIV infection,and healthy controls,Results:The consultation times of patients with AIDS, HIV infection and health matched controls was 23.672,13.549 and 2.724 times in 3 months,respectively,which were significant higher in patients with AIDS and HIV infection than in healthy controls(x~2=925.526,P<0.000).Hospitalized times in patients AIDS,HIV infection and health matched controls were 0.593 095,0.176 119 and 0.078 027,respectively in 3 months,which were significantly higher in patientswith AIDS and HIV infection than in healthy controls(x~2=43.716,P<0.000). Consultation rates of patients with AIDS,HIV infection and healthy controls in rural hospitals were 80.83%,82.31% and 65.72% respectively(X~2=786.425,P<0.000),while the consultation rates of these subjects in town or city hospitals were 68.19%,84.75% and 43.68% respectively(X~2=38.720,P<0.000).Conclusion:Medical care is more in patients with AIDS and HIV infection compared to healthy controls.Out-patients with AIDS and HIV infection have more consultation in rural hospitals,while more in-patients are in town and city hospitals.There were significant different in distribution between patients with AIDS,HIV infection and health controls.
【Key words】 AIDS; health service; consultation rate; hospitalized rate; cross-section study;
- 【文献出处】 中国卫生经济 ,Chinese Health Economics , 编辑部邮箱 ,2006年06期
- 【分类号】R512.91
- 【被引频次】11
- 【下载频次】160