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几十年来,我国的计划免疫工作取得了长足的进展。研究影响服务利用的因素将有助于进一步扩大计划免疫覆盖面,减少可预防疾病的发生,促进儿童健康。本文对不同经济条件、医疗保健制度下,农村儿童计划免疫覆盖的现况和因素分析得出:医疗保健制度、父母受教育程度和家庭经济收入等是影响服务利用的主要因素。建议从建立适宜的保健制度和进行健康教育两大环节着手,进一步提高服务利用率。
For decades, great progress has been made in China’s planned immunization efforts. Studying factors that affect service utilization will help to further expand planned immunization coverage, reduce preventable diseases and promote children’s health. This article analyzes the status quo and factors of planned immunization coverage of rural children under different economic conditions and health care system. The results show that health care system, parental education and family income are the main factors that affect service utilization. It is suggested to start with establishing appropriate health care system and conducting health education so as to further improve service utilization.