摘要
目的探讨社区居民对健康小屋的功能与资源配置需求,以期对社区健康小屋的建设提出合理化建议。方法于2014年10月—2015年4月,采用便利抽样法,在上海市浦东新区金杨社区卫生服务中心全科诊室随机选取就诊居民98例,以及在中心辖区内街道随机拦截居民100例,进行社区健康小屋需求调查。结果共发放问卷198份,回收有效问卷198份,有效回收率为100.0%。社区居民对健康小屋的服务内容需求有定期健康体检（77.2%,152/197）、健康咨询（64.0%,126/197）、慢性病筛查和随访/指导服务（51.3%,101/197）等;认为首要的体检测量工具为血压仪（45.1%,88/195）;期望的健康小屋功能有医疗咨询（64.0%,126/197）、健康指标监测（61.4%,121/197）、慢性病防治（55.8%,110/197）等;期望社区卫生服务中心专门开辟健康小屋（43.3%,84/194）;期望健康小屋的面积为30~60 m2（49.8%,95/191）;期望医护人员或设备配备有全科医生（80.6%,158/196）、护士（50.5%,99/196）、专科医生（37.2%,73/196）、具有交互功能的仪器（20.4%,40/196）等;认为健康小屋首要医务人员为全科医生（58.2%,110/189）;认为健康小屋内医务人员数为2-3名（59.6%,112/188）;期望健康小屋的开放时间为一周都开放（43.8%,85/194）。目前,社区居民接受的健康小屋服务模式为进行必要的体检项目和健康宣教内容,偏向于体检项目（41.9%,82/196）;认为健康小屋有必要（83.1%,162/195）;认为其他可以代替健康小屋功能的机构为社区卫生服务中心本身（37.2%,73/196）;愿意去替代机构（75.5%,145/192）;与替代机构相比,健康小屋的优势有交通便利（52.3%,103/197）、费用便宜（47.2%,93/197）等。结论社区健康小屋的功能不应仅限于体检,其更应发挥健康知识传播和指导的功能,且后者的特色化发展是健康小屋有别于其他替代机构的关键。另外,社区健康小屋还需在硬件和
Objective To explore the demand for community health cabin＇s function and resource allocation,in order to provide reasonable suggestions for the construction of community health cabin. Methods From October 2014 to April 2015,we randomly enrolled 98 residents who sought for treatment in the general clinics of Jinyang Community Health Service Center in Pudong New Area of Shanghai by convenience sampling method,and we also enrolled 100 residents randomly intercepted from the streets within the central administrative area. Questionnaire survey on community health cabin＇ s was conducted the subjects. Results A total of 198 questionnaire were distributed,and 198 questionnaires were returned with an effective rate of100. 0%. The service content of health cabin demanded by community residents included regular health examination（ 77. 2%,152 /197）,health consultation（ 64. 0%,126 /197）,screening for chronic disease and follow- up / guidance（ 51. 3%,101/197）; a medical measurement tool considered to be primary was BP monitor（45. 1%,88 /195）; functions expected included medical consultation（ 64. 0%,126 /197）,monitor of health indicator（ 61. 4%,121 /197） and prevention and treatment of chronic diseases（55. 8%,110 /197）; the community health service center was expected to open health cabin（ 43. 3%,84/194）; the expected area of health cabin was 30 ~ 60 m2（49. 8%,95 /191）; medical workers and equipment were expected to include general practitioners（80. 6%,158 /196）,nurses（ 50. 5%,99 /196）,specialist physician（ 37. 2%,73 /196） and equipment with interaction function（ 20. 4%,40 /196）; the primary health workers were general practitioners（ 58. 2%,110/189）; the number of health workers in a health cabin was expected to be 2 to 3（ 59. 6%,112 /188）; health cabins were expected to open on both workdays and weekends（ 43. 8%,85 /194）. At present,community residents preferred to accept a health cabin service mode composed of physical examination items and health education
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第7期762-765,共4页
Chinese General Practice
基金
上海市中西医结合学会科研基金资助项目(2013-0201)--基于价值分析法的社区健康小屋功能定位与资源配置研究
上海市卫生和计划生育委员会科研基金资助项目(2014-337)--基于SERVQUAL标尺评价健康小屋服务质量评价指标的研究
关键词
社区健康小屋
功能
资源分配
卫生服务需求
Community health cabin
Function
Resource allocation
Health services needs and demand
