论文部分内容阅读
目的通过分析陕西省妇女健康体检情况,为促进妇女参加健康体检提出建议。方法 2006年1月1日至2014年9月30日,对陕西省某三级甲等医院健康查体中心数据库中,妇女体检人群宫颈刮片、液基薄层细胞检测(TCT)结果等数据进行描述性统计分析,利用SPSS 17.0软件,独立样本资料率的比较采用χ2检验,检验水准α=0.05。结果妇女健康体检人群中,95.07%为免费团体体检,4.93%为自费体检。2006-2014年,妇女宫颈癌筛查人数增加近7倍;1 880人检出宫颈异常细胞,平均检出率2.49%。TCT技术异常细胞检出率高于宫颈刮片巴氏涂片技术,差异有统计学意义(χ2=27.85,P<0.05);样本不满意率低于宫颈刮片巴氏涂片,差异有统计学意义(χ2=188.65,P<0.05)。结论健康体检对妇女重大疾病预防保健有重要意义。建议将有条件现金转移支付(CCT)模式引入低收入妇女人群健康体检,以优惠或免费政策激励妇女健康体检,通过政策牵引来提高妇女健康体检率和妇女重大疾病预防保健水平。
Objective To analyze the status of women’s health examination in Shaanxi Province and make recommendations to promote women’s participation in health examination. Methods From January 1, 2006 to September 30, 2014, the data of cervical smears and liquid-based thin-layer cytometry (TCT) in female physical examination population were collected from the database of physical examination center of a tertiary level Hospitals in Shaanxi Province. Descriptive statistical analysis, the use of SPSS 17.0 software, independent sample data rate comparison using χ2 test, test level α = 0.05. Results Of the women health examination population, 95.07% were free group medical examination and 4.93% were self-funded medical examination. In 2006-2014, the number of cervical cancer screening women increased nearly 7 times; 1 880 people detected abnormal cervical cells, the average detection rate of 2.49%. TCT technique abnormal cell detection rate is higher than Pap smear Pap smear, the difference was statistically significant (χ2 = 27.85, P <0.05); sample unsatisfactory rate is lower than Pap smear cervical smear, the difference was statistically Significance (χ2 = 188.65, P <0.05). Conclusion Physical examination is of great importance to the prevention and care of major diseases in women. It is suggested that the conditional cash transfer payment (CCT) model be introduced into the health check-ups of low-income women to encourage healthy physical examination for women by means of preferential or free policies and to promote women’s health examination rate and women’s prevention and treatment of major diseases through policy traction.