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首页> 外文期刊>Public health >Comparison of health-seeking behaviour between poor and better-off people after health sector reform in Cambodia.
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Comparison of health-seeking behaviour between poor and better-off people after health sector reform in Cambodia.

机译：柬埔寨卫生部门改革后穷人和富裕人群寻求健康行为的比较。

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This study compared health-seeking behaviour between poor and better-off people after health sector reform in Cambodia. The survey was conducted in the Prek Dach Health Centre coverage area, which is located in South-east Cambodia. The study population consisted of 257 housewives of reproductive age, selected at random. Data were collected through household surveys with a structured questionnaire. Data collected included socio-demographic information on the housewives, as well as episodes of illness of family members within 30 days prior to the survey. Two indicators, the floor area of living space and a rating scale on asset ownership, were used to identify poor and very poor people.When a family member became ill, subjects most often used home remedies as a first step, followed by self-medication. Subsequently, people used self-medication or the private health sector. Very poor people used the health centre more often than better-off people as a first step. For the second step, use of the health centre was also high among the poor compared with better-off people, although the difference was not statistically significant. Keeping the treatment fees low and abolishing informal fees maintained the affordability of health-centre services for the poor. However, this benefit diminished quickly with distance from the health centre. The significant difference between poor and better-off people disappeared for villages situated more than 2 km from the health centre. Thus, the health centre in the studied area was shown to be effective in providing primary health care to the economically disadvantaged, but only within a limited geographic area.
机译：这项研究比较了柬埔寨卫生部门改革后贫困人群和富裕人群之间的寻求健康行为。这项调查是在柬埔寨东南部的Prek Dach健康中心覆盖区域进行的。研究人群由257名育龄家庭主妇组成，是随机选择的。通过家庭调查和结构化问卷收集数据。收集的数据包括家庭主妇的社会人口统计学信息以及调查前30天内家庭成员的病情。居住面积和资产所有权评级两个指标用于识别穷人和非常贫困的人。当家庭成员生病时，受试者最常使用家庭疗法，然后进行自我药物治疗。随后，人们使用自疗或私人保健部门。第一步，比起富裕人群，穷人更经常使用保健中心。第二步，与富裕人群相比，穷人对健康中心的使用率也很高，尽管差异没有统计学意义。保持较低的治疗费和废除非正式费用，维持了穷人保健中心服务的负担能力。但是，随着距保健中心的距离增加，这种好处迅速减少。在距保健中心2公里以外的村庄，穷人和富裕人群之间的重大区别消失了。因此，研究区域的保健中心被证明可有效地为经济上处于不利地位的人提供初级保健，但仅在有限的地理区域内有效。

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