Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-11-14 Cooperative journals: 《中国全科医学》
Abstract： Background Factors affecting health service utilization play an important role in optimizing the allocation of health services. As subjective indicators affecting health judgment and health seeking behavior, there are generally few researches on the impact of health-related quality of life on health service utilization of rural residents in China.Objective To explore the relationship between health-related quality of life and health service utilization of rural residents in Ningxia, and to provide reference for policy makers and health service providers to make plans and optimize health services for rural residents.Methods A total of 9310 people aged≥15 years from the 2019 Rural Household Health Survey in Ningxia were selected as the study subjects. Health-related quality of life was measured based on EQ-5D scale, and the effects of EQ-5D health utility value and VAS health score on health service utilization were analyzed by binary logistic regression.Results The utilization rate of outpatient service and inpatient service was 10.85% and 18.86%, respectively; The average overall health utility value of the subjects was (0.965±0.090), and the average VAS health score was (69.97±17.84).; Logistic regression analysis results showed that after model were adjusted for various confounding factors, both health utility value and VAS health score could significantly affect residents' health service utilization.Conclusion Health-related quality of life and the prevalence of chronic diseases were the leading factors affecting the utilization of outpatient and inpatient services.As an independent factor to predict residents' health service utilization, health-related quality of life can be used to assist in the evaluation and monitoring of health service quality and effect, and further provide information for the rational allocation of health resources.
Subjects: Medicine, Pharmacy >> Preclinical Medicine submitted time 2022-09-06 Cooperative journals: 《中国全科医学》
Abstract： Background In recent years, health service research has become an important research field in health industry of China. In previous studies, most of the analysis was conducted on the status quo of residents' two-week illness and medical treatment and related influencing factors, while the research on two-week prevalence of not visiting a doctor as a negative indicator was relatively rare. Objective To understand the current situation of residents in western mountainous areas of China who did not visit a doctor for two weeks, to explore the influencing factors and analyze the reasons, so as to put forward targeted suggestions. Methods In December 2019, a multi-stage stratified cluster random sampling method was used to investigate the situation of 21,451 residents in 4 counties in rural areas of Ningxia who did not visit a doctor for two weeks, and the influencing factors were analyzed by structural equation model. Results The two-week prevalence rate of residents in rural areas of Ningxia was 15.0%, and the two-week prevalence of not visiting a doctor rate was 69.5%. Chi square test and Fisher's exact probability showed that gender, age, education level, occupation, self-assessed health status, whether residents with chronic diseases, the number of days in bed for two weeks and the time to go to secondary or higher medical institutions had significantly effect on two-week prevalence of not visiting a doctor among ill residents（P<0.05）. Structural equation model showed that health characteristics had the greatest impact on the two-week illness visit of rural residents, and the standardized regression coefficient was -0.313. Followed by demographic characteristics, the total effect value was -0.101, including direct and indirect effects. Conclusion The residents in rural areas of Ningxia have a high rate of not visiting a doctor after two weeks of illness, and the existing health services are not fully utilized. According to the influencing factors, corresponding measures and formulate relevant policies to optimize the allocation of medical and health resources, so as to improve the utilization level of health services and social equity.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-08-01 Cooperative journals: 《中国全科医学》
Abstract： 【Abstract】background With the development of social science and technology and the progress of medical technology, people's living standards and quality of life have been significantly improved, and their life expectancy is higher than that in the past few years. However, with the increase of the elderly population, the aging situation of the population has become increasingly serious. At present, the elderly in rural areas are underutilized in health services, and their health status is even more unoptimistic. Objective To analyze the health equity of the middle-aged and the elderly in Haiyuan and Yanchi pilot counties of Ningxia, and to analyze the contribution of various influencing factors to health inequality, so as to provide a basis for improving the health of the middle-aged and elderly and for the government to improve relevant health policies. Methods From January to March, 2022, using the 2019 follow-up data of "Rural Residents' Family Health Inquiry Survey", a total of 5,908 middle-aged and elderly people aged ≥45 and living in their families for more than one year were selected as the research objects by multi-stage cluster random sampling. The contents mainly include demographic characteristics, family characteristics, personal health status, etc. The concentrated index is used to analyze the health equity of middle-aged and elderly people, and the concentrated index decomposition method is used to analyze the contribution degree of each influencing factor to health inequity. Results The two-week prevalence rate, chronic disease prevalence rate, two-week bed rest rate and two-week off rate (CI) of the middle-aged and elderly in Haiyuan County, Ningxia were 0.0300, 0.0029, 0.0114 and 0.0327 respectively, while those of the middle-aged and elderly in Yanchi County, Ningxia were 0.0004,-0.0001, 0.0374 and 0.0374, respectively. The concentration index decomposition showed that age had the highest contribution to health unfairness, with a contribution rate of 30.01% to two-week prevalence rate, 218.56% to chronic diseases, 1.21% to two-week bed rest rate and 129.53% to two-week rest rate. Education level and annual per capita income of family contribute more to health inequality, while gender, occupation and drinking water type contribute less to health inequality. Conclusion On the whole, the health equity of the middle-aged and elderly in the pilot county of Ningxia is better, but the age makes the greatest contribution to the health of the middle-aged and elderly. The society should pay attention to the health of the middle-aged and the elderly. the local grass-roots health institutions can regularly carry out free health testing on the health of the middle-aged and the elderly, and publicize their health knowledge to enhance the health awareness of the middle-aged and the elderly. the government should also adjust the relevant medical and health policies to meet the health needs of the middle-aged and elderly, and finally achieve health equity.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-07-09 Cooperative journals: 《中国全科医学》
Abstract： Background The incidence of breast cancer is in a strong uptrend in China, which seriously threatens women’s physical and mental health. It is an important means to improve prevention and treatment behavior to change the outcome of women in community. Because of heterogeneity, prevention and treatment behavior needs to be explored effectively. Objective To understand potential categories and influencing factors of breast cancer prevention and treatment behaviors of community women, in order to provide basis for targeted intervention measures for breast cancer prevention and treatment of community women. Methods A cross-sectional survey was conducted among 1327 community women in Ningxia based on a self-made questionnaire named the status of knowledge-attitude-practice in the prevention and treatment of "two cancers", and the questionnaire reliability and validity were tested. Based on the survey results, the potential categories of breast cancer prevention and treatment behaviors of community women were analyzed, and the influencing factors of different categories were analyzed by using single factor and Logistic regression. Results The prevention and treatment behavior of breast cancer among community women can be divided into four categories: positive prevention and treatment behavior group (38.2%), high-risk behavior and active medical treatment group (32.3%), high-risk behavior and negative medical treatment behavior group (17.2%) and general prevention and treatment behavior group (12.3%). Taking the general prevention behavior group as a reference, living city, medical insurance type, fertility procreated and received hormone replacement therapy were the influencing factors of the positive prevention and treatment behavior group (P<0.05). Fertility procreated, received hormone replacement therapy and medical insurance type were the influencing factors of high-risk behavior and active medical treatment group (P<0.05). Education level, family per capita monthly income and medical insurance type were the influencing factors of high-risk behavior and negative medical treatment behavior group (P<0.05). Conclusion The prevention and treatment behaviors of breast cancer among community women have obvious classification characteristics, and their prevention and treatment behaviors are at a medium level. The community should focus on the population with high-risk behavior and negative medical treatment behavior group, besides taking intervene in the positive prevention and treatment behavior group, high-risk behavior and active medical treatment group and general prevention and treatment behavior group to improve prevention and treatment behaviors of breast cancer community women in Ningxia.
Hits
Hits
Downloads
Comment