2. Significance of health service research: 1) Ensuring social equity in the utilization of health services; 2) Improve residents' health level and quality of life; 3) Control medical expenses and improve social and economic benefits of health services.
3. Research progress of health service in China: (1) 198 1, Chinese and American scientific and technological personnel made a descriptive and comprehensive study on the health service of the squadron of scientific and technological cooperation projects in Shanghai county; (2) The rapid popularization of the research experience of county health service in Shanghai; (3) National health service survey; (4) expanding the research scope and objects; (4) the development of research methods of health service investigation; (5) Developing survey methods of health services; (6) To form a multi-disciplinary and integrated health service research pattern.
4. Contents of health service research:
(1) The influence of social factors on health system; (2) Assessing the medical and health service needs of the population; (3) Rational allocation and effective utilization of health resources; (4) Organizational structure and function of health system; (5) Economic analysis of health system; (5) Economic analysis of health system; (6) Evaluation of health service effect.
Research methods of health service: descriptive research; Analytical research; Experimental research; Mathematical model method; System analysis method; Comprehensive evaluation method; Input-output analysis method; Family health inquiry sampling survey (one-time cross-sectional survey; Repeated cross-sectional survey; Continuous cross-sectional survey.
6 health service demand: reflecting residents' demand for preventive health care; Improve health; Subjective desire to get rid of diseases and reduce disabilities; It is not entirely determined by a person's actual health.
Demand for health services: It depends on residents' own health status, based on the gap between people's actual health status and ideal health status. The objective needs of health services such as rehabilitation include the needs of personal perception and the needs of medical and health professionals' judgment.
Health service demand: from the perspective of economy and values, people are willing and able to consume a certain price level of health services in a certain period of time; Generally divided into: demand transformed from demand; There is no need for demand;
Utilization of health services: the number of health services actually used by demanders (that is, effective demand) is the result of mutual restriction between health service demand and health resource supply.
Measurement and analysis of "7" health service demand
(1) Health service demand is an objective reflection of residents' actual health status, which can usually be reflected by indicators of people's health status. Indicators include: a. Death and its constituent indicators.
B. Disease indicators C. Disability indicators D. Nutrition and growth indicators E. Psychological indicators
F. Social indicators
(2) Death index
Indicators reflecting residents' demand for health services:
A. Infant mortality B. Maternal mortality C. Average life expectancy
(3) Disease indicators
Indicators reflecting residents' medical service demand and disease burden: a. Frequency (degree) of disease B. Severity.
Frequency (degree) of disease
A. Two-week prevalence rate = number of patients (times) in the two weeks before the survey/number of people surveyed? L00% or 1000?
B. Prevalence rate of chronic diseases = number of patients suffering from chronic diseases in the first half of the survey (times)/number of people surveyed? 100% or l000?
C. percentage of healthy people in the total population: that is, the percentage of healthy people per 100 of the surveyed population.
Disease severity index
(1) Two-week bedridden rate = number of bedridden people in the two weeks before investigation (times)/number of people surveyed? L00% or 1000?
(2) Two-week activity restriction rate = the number of people with limited activities in the two weeks before the survey (times)/the number of people surveyed? 100% or 1000?
(3) Two-week absenteeism (school) rate = number of absenteeism due to illness (times) two weeks before the survey/number of people surveyed? 100% or 1000?
(4) The number of sick days in two weeks = the total number of sick days in the two weeks before the survey/the number of people surveyed.
(5) In addition, there are disability rate, disability rate, two-week bed rest days, vacation days, suspension days, etc.
Measurement and analysis of health service utilization
(1) Utilization of outpatient service
A. Two-week visit rate = number of visits (times) in the two weeks before the survey/number of people surveyed? 100% or 1000?
B. Two-week patient attendance rate = number of patients (times) in the first two weeks of investigation/total number of patients in two weeks? 100% or 1000?
C. Two-week patient failure rate = number of patients who did not see a doctor within two weeks before the survey/total number of patients in two weeks? 100% or 1000?
(2) Utilization index of hospitalization service
D. Hospitalization rate = number of inpatients (times) in the year before the survey/number of people surveyed? 100% or 1000?
E per capita hospitalization days = total hospitalization days/total hospitalization times.
F. Non-hospitalization rate = number of patients who need to be hospitalized but not hospitalized/number of patients who need to be hospitalized? 100%