Shrestha D R, Ittiravivongs A
Asean Institute for Health Development, Mahidol University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 1994 Jun;25(2):361-7.
A descriptive study was carried out in two subdistricts of Nong Heng and Nong Kakha, Phan Thong District, Chon Buri Province eastern Thailand with the aim to determine factors affecting health center utilization. A cross-sectional survey was conducted on 206 randomly selected households in which household head or senior person in each household was interviewed using a structured questionnaire. The study household was classified as either high or low health center utilization group on the basis of using health services more than 50% of total health services needed in each household. The results revealed that age group, sex, education, family size, and distance from household to health center were not associated with the utilization of health center, whereas occupation, economic status, knowledge and attitude towards health center and quality as well as convenience of health services were found to be associated with health center utilization. It was seemed that underutilization of health centers was multifactorial, in which some factors were related with the personality of individual whereas others were concerned with the health center itself.
在泰国东部春武里府挽通区的农亨和农卡哈两个分区开展了一项描述性研究，旨在确定影响健康中心利用情况的因素。对206户随机抽取的家庭进行了横断面调查，使用结构化问卷对每户的户主或年长者进行访谈。根据每户使用的卫生服务超过所需卫生服务总量的50%，将研究家庭分为高或低健康中心利用组。结果显示，年龄组、性别、教育程度、家庭规模以及家庭与健康中心的距离与健康中心的利用情况无关，而职业、经济状况、对健康中心的了解和态度以及卫生服务的质量和便利性与健康中心的利用情况有关。健康中心利用不足似乎是多因素的，其中一些因素与个人性格有关，而其他因素则与健康中心本身有关。
