摘要
目的 :了解未设置社区卫生服务中心的成都市金沙街道办事处居民的社区卫生服务利用现状,探讨影响居民利用社区卫生服务的主要因素。方法 :于2017年10月在该街道办事处内选取居民1 052人,采用自行设计的问卷进行面对面调查,调查内容包括居民的一般情况、卫生服务需求、卫生服务利用与社区卫生服务利用等。结果 :居民2周患病就诊率为9.9%,不同家庭年收入组的2周就诊情况差异具有统计学意义(P <0.05)。最近1年居民对社区卫生服务中心的利用率为25.5%,不同年龄、文化程度、医疗保险类型和是否罹患慢性病的居民,其对社区卫生服务的利用率差异具有统计学意义(P <0.05)。Logistic回归分析显示,25~44岁、罹患慢性病和享受城镇居民/新农合/城乡居民医疗保险的居民更倾向于去社区卫生服务中心就诊。居民未利用社区卫生服务的主要原因是周围没有社区卫生服务中心(55.7%),有96.3%的居民希望在该街道内设置社区卫生服务中心。结论 :为满足居民合理的卫生服务需求,落实社区首诊制,发挥"六位一体"作用,在金沙街道办事处内设置社区卫生服务中心迫在眉睫。
Objective： To investigate the utilization status of community health services in urban residents in JinshaSub-District Office of Chengdu without the community health service center to find out the main factors influencing the healthservice utilization of the residents. Methods： In October 2017, 1 052 residents were selected from the Sub-District Office toconduct face-to-face surveys with the self-designed questionnaires, and the survey included general conditions of residents, healthservice demands, utilization of health services and utilization of community health services. Results： The consulation rate forresidents in the 2-week period was 9.9%, and the difference in the two-week visits between the different families in the annualincome group was statistically significant（P〈0.05）. In the last year, residents’ utilization rate of the community health servicecenter was 25.5%, and residents of different ages, education levels, types of medical insurance, and whether they suffered fromchronic diseases had statistically significant differences in the utilization rate of the community health service（P〈0.05）. Logisticregression analysis showed that residents aged 25~44 years old who suffered from chronic diseases and enjoyed urban residents/new rural cooperative medical system/urban and rural residents medical insurance were more likely to go to the community healthservice center. The main reason why residents did not use the community health service was that there were no community healthservice centers（55.7%）. The majority of residents（96.3%） were keen to set up a community health service center in the Sub-District Office. Conclusion： In order to meet the residents＇ reasonable health service demands, implement the community firstvisitsystem and play the ＂six in one＂ role, it is urgent to set up community health service centers in Jinsha Sub-District Office.
作者
余红梅
谢冬梅
李彦霖
许靖
沈兵
郭凡
李凤仙
陈小雪
杨义
YU Hongmei;XIE Dongmei;LI Yanlin;XU Jing;SHEN Bin;GUO Fan;LI Fengxian;CHEN Xiaoxue;YANG Yi(School of Management of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan 611137,China;Funan JinshaCommunity Health Service Center of Qingyang District,Chengdu,Sichuan 610072,China;General Service Section of Funan JinshaCommunity Health Service Center of Qingyang District,Chengdu,Sichuan 610072,China;Administrative Office of Funan JinshaCommunity Health Service Center of Qingyang District,Chengdu,Sichuan 610072,China)
出处
《上海医药》
CAS
2018年第22期19-23,共5页
Shanghai Medical & Pharmaceutical Journal
基金
四川省基层卫生事业发展研究中心项目(SWFZ18-Z-2)
关键词
社区卫生服务
卫生服务利用
影响因素
卫生服务提供
community health service
health service utilization
influencing factor
health service provision
作者简介
通信作者：杨义.E-mail：thehanyang@163.com
