Trend Study About Health Service Demanding And Utilizing Among Tianjin Residents With Chronic Disease

Objective:The forth Health services survey in Tianjin was basically summarized on the past 3 surveys which were held in 1993,1998 and 2003, based on the precious experiences that we've been through all the former 3 surveys, the forth one was designed to focus on the current health reform and development situation in Tianjin. This study mainly relied on all the Tianjin residents chronic disease statistics that resulted from all the four health service surveys, including patients'health service demands and usages. It mainly explored certain chronic disease items by analyzing the statistic trends which had cross the past 15 years, the items include Chronic disease spectrum, residents' medical services demands, residents'option trends of medical institutions, self-medication trends, hospitalization rates trends, medication fee of treatments or hospitalization, patients'satisfaction extend to the medical situation and so on. We may understand Tianjin residents'medical demands and usages that referred to chronic disease, and we would offer certain proper policy strategies that would be helpful for Tianjin health reform and chronic disease control.Method:All the four health service surveys were based on Multi-stage stratified random sampling method, then the author collected all the chronic disease-related statistics, and made the descriptive and univariate statistical analysis. The author also concerned more about those residents who were suffered from chronic diseases and focused more on their health service demands and usages, then made the trend analysis. All the results were served for promoting urban and rural health reform and development in Tianjin, and further properly offer policy strategies for health development in Tianjin.Results:The statistical results showed that chronic diseases morbidity of Tianjin residents has been rising for the past 15 years, Tianjin had to face the challenge of controlling the chronic diseases morbidity. Morbidity of hypertension and circulatory system diseases have been on the top all the time, and obviously been the major chronic disease that affect residents' health situation. The treatment rate and hospitalization rate of chronic disease patients showed a rising trend for the past years, which indicate an increasing demand for health service. The demands trend of treating in Tertiary hospitals had been decreased, which indicate that the social phenomenon of "Difficult to getting medical treatment" had been relieved. Moreover, the total health service fee that the patients should pay had been rising all the time, which shows that we still have to face the phenomenon of "expensive to getting medical treatment".Conclusion:Chronic disease prevention and control will become the most important health work in Tianjin for quite a long time. We should notice that community health service in Tianjin has been leading in the nation for a long time. The adoption of a community-based, combining of community epidemic prevention stations, hospitals and health bureau functions, and implement the integrated control strategy among the target population and the whole population, using community health service system platform, serve the chronic disease controlling as an important task in community health service system. According to the requirement of constructing an urban-rural covered primary health-care system, we could create a whole new situation of controlling chronic diseases in Tianjin.