关键词: 残疾儿童, 卫生服务利用, 年住院率, 康复利用率

Abstract: Objective To investigate the current situation and influencing factors of health service utilization among disabled children in Guangzhou,in order to provide evidence for improving the utilization of health services for disabled children. Method A questionnaire survey was conducted on parents of disabled children in Guangzhou Rehabilitation Center and 4 special schools by using the self-designed questionnaire for Health Services of Disabled Children. Results Totally 511 valid questionnaires were returned. 1) The two-week consultation rate of disabled children was 25.2%,and the influencing factors included children′s age,study style and the health status of children′s parents and accept minimum living allowance(P<0.05). 2) The annual hospitalization rate of disabled children was 17.2%,and the influencing factors included children′s age and disability grade,parents′ understanding of early intervention (P<0.05). 3) Vaccination rate of disabled children was 61.1%,and regular physical examination rate was 21.5%. The factors influencing regular physical examination rate were study style and accept minimum living allowance (P<0.05). 4) The rehabilitation training rate for disabled children was 58.9%,and the influencing factors included children′s age,types of disability,being an only child,study style and parents′ understanding of early intervention (P<0.05). And the rate of regular follow-up was 19.2%. Conclusions The accessibility and initiative awareness of health services are insufficient,and the utilization of health services among disabled children is suggested to be improved. A reasonable and effective social security system of health services should be established to optimize the accessibility of health resources,strengthen the health education of prevention and early intervention of disabled children,improve the initiative of parents to use services,thereby promoting the healthy growth of disabled children.

Key words: disabled children, health services utilization, annual hospitalization rate, rehabilitation utilization rate