摘要
目的通过调查和分析 ,了解北京安贞社区居民的健康水平和卫生服务利用与需求情况 ,为提高社区卫生服务的有效利用和更有针对性开展防治服务 ,解决本地区居民的主要卫生问题提供依据。方法采用根据 WHO行为危险因素检测调查问卷修订的调查表 ,对北京市安贞社区 2 5岁以上成年人群的健康状况和对卫生服务的利用状况及健康相关行为进行随机抽样调查。结果 1本社区居民的主要健康问题依次是 :心血管病及糖尿病、消化系统疾病、骨关节疾病、呼吸系统疾病。 2目前绝大多数 (81.9% )居民享受公费医疗或大病统筹 ,另有 3.7%享受医疗保险。 383.4 %的居民就医选择部级和市级大医院 ,而对社区卫生服务站的利用率不高 (14 .7% ) ,其原因主要是费用不能报销 (占 6 7% )和不知道有服务站 (17.4 % )。 4居民患病而未及时就医 2 3.4 %归因于医疗服务不便。结论慢性病是本社区的主要健康问题。现有以大医院为主体的医疗保健方式不能充分满足居民需求。现行的医疗制度是导致社区卫生服务站利用率低 ,制约社区卫生服务发展的关键因素。
Objective To understand the health level and the utilization and demands of health service among residents in Anzhen community in Beijing. To make effective provision for community health care service and carry out disease prevention and control pertinently, so as to provide feasible measures to resolve the major health problem in the community. Methods The investigation was conducted with three stage randomized sampling on adult people aged 25 and over in Anzhen community, using revised questionnaire from the WHO Behavior Risk Factor Surveillance System. Results ① The major diseases suffered among the residents ranked as follows: CVD and DM, diseases of digestive system, disorders of skeletal and joints system and respiratory system diseases; ② Most residents took state medicine, while only small proportion(3 7%) of residents bought medical insurance; ③ Most people preferred to go to large and Class3 hospitals rather than to community health care station when they were ill. The reasons were that they could not apply for reimbursement if seeing doctors in community health care station (67%) and were unaware of the existence of community health care station (17 4%);④The big barriers preventing residents who were ill from seeing doctors in time was attributed to the inconvenience of health care service. Conclusion Chronic diseases were the major health problem among Anzhen community. The existing large hospital based health care system could not meet demands of the residents. The existing medical care system was the main cause that lowers the efficacy and restrains the development of community health system. So, it is necessary for us to seek a better mechanism to provide more effective, accessible basic community care to residents.
出处
《中国慢性病预防与控制》
CAS
2002年第6期267-269,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
北京
社区居民
健康状况
卫生服务
Community residents
Health standard
Health service
