摘要
目的了解重庆市主城区社区居民家庭情况及社区卫生服需求与利用情况,并与第五次国家卫生服务调查结果比较,为合理配置卫生资源、提高居民健康水平及生活质量提供客观依据。方法 2014年5—8月对重庆市巴南区某街道960户家庭采用自行设计的问卷进行入户面对面调查,对社区居民卫生服务需求与利用的相关指标进行统计分析。结果共调查960户家庭、居民2 742人,社区居民两周患病率为9.1%,慢性非传染性疾病(慢性病)患病率为35.6%,两周就诊率为5.9%,两周患者中未就诊比例为35.0%住院率为14.1%,应住院而未住院比例为21.2%;两周患病率、两周就诊率低于第五次国家卫生服务调查结果,慢性病患病率、两周患者未就诊比例、住院率、应住院而未住院比例高于第五次国家卫生服务调查结果;60岁及以上年龄组所占比例大(52.4%),且其两周患病率、慢性病患病率、住院率较高。结论社区居民卫生服务需要总体较大,而对卫生服务的利用率有待提高,社区老龄化程度高,老年人对卫生服务需求和利用相对较高。应加强老年人群医疗资源的供给,优化资源配置,提高社区卫生服务的利用程度与服务质量。
Objective To know the family situation and community health service demand and utilization of Chongqing community residents, and compared with the fifth national health services survey results. Provide an objective basis for the allocation of health resources, and improve health and quality of life for residents. Methods Collect data with self-designed questionnaire through face to face surveys of 960 household from a Community of Banan district, analyze the community health service demand and utilization of related indexes from May to August 2014. Results Survey of 960 households, a total of 2 742 residents; two week prevalence rate was 9.1%, chronic disease prevalence rate was 35.6%, the rate of physician contact within two weeks was 5.9%, compared with 35.0% in patients with two weeks did not see a doctor, hospitalization rate was 14.1%, the proportion should be admitted to the hospital without hospitalization for 21.2%.Two weeks prevalence, the rate of physician contact within two weeks below the fifth national health services survey results. Chronic disease prevalence rate, proportion of patients did not see a doctor, hospitalization rate, should be in the hospital without hospitalization rate is higher than the fifth national health services survey results.Conclusion As a whole, the need of community health service is large, and utilization of health service needs to be improved.Community aging degree is high, health service demand and utilization of the elderly is relatively higher.The supply of medical resources of the elderly should he strengthened, and optimize the allocation of resources, improve the quality of community health services utilization degree and service.
出处
《社区医学杂志》
2016年第16期4-7,共4页
Journal Of Community Medicine
关键词
社区居民
卫生服务
需要
需求与利用
Community residents
Health service
Needs
Demands and utilization
