Health Service Demand,Utilization and Expenditure of Urban and Rural Residents in Gongshan County of Yunnan Province

Lin Shuna; Liu Xinya; Xu Yishan; Li Shaojun; Gu Zhen; Yan Yuzhong; Li Ming; Wang Ying

doi:10.3969/j.issn.1001-568X.2025.11.0002

Abstract：OBJECTIVE To investigate the health service demand,utilization,and expenditure of urban and rural residents in Gongshan County,and to provide reference for formulating health policies and allocating local medical resources reasonably.METHODS Referring to the Family Health Survey Form of National Health Service Survey made by National Health Commission,1 851 urban and rural residents in Gongshan County were selected by probability proportionate to size sampling method to conduct a questionnaire survey from July to August in 2023.RESULTS The two-week visiting rate for Gongshan County residents was 8.43％,with 5.96％in urban areas and 9.04％in rural areas.The annual hospitalization rate for Gongshan County residents was 16.05％,with 10.57％in urban areas and 17.41％in rural areas.The proportion of Gongshan County residents seeking medical care at count hospital was 55.13％,and the proportion of inpatients at county hospital was 59.26％.The main reasons for not seeking medical care were self-perceived mild illness(66.67％),and the main reason for not being hospitalized was a lack of time for hospitalization(40.00％).The average per capita outpatient self-payment for medical expenses for Gongshan County residents was 931.34 yuan,473.57 yuan in urban areas,and 984.16 yuan in rural areas.The average per capita inpatient self-payment for medical expenses was 4 907.68 yuan,5 393.61 yuan in urban areas,and 4 835.40 yuan in rural areas.CONCLUSION The utilization of health services by Gongshan County residents is relatively low compared to the national average.The proportion of primary care visits is low,primary healthcare institutions exhibit notable deficiencies in service capacity,and the burden of health service costs on residents is heavy.The Gongshan County government should continue to strengthen investment in the medical and health sector,especially in promoting the capacity building of health services in rural and remote areas,and systematically improve the accessibility and affordability of health services for Gongshan County residents.