深圳市社区卫生服务利用及其影响因素分析  

Utilization of community health services and influencing factors in Shenzhen

作　　者：卢祖洵[1] 刘军安[1] 彭绩[2] 程锦泉[2] 杨德华[3] 夏挺松 

机构地区：[1]华中科技大学同济医学院社会医学系,武汉430030 [2]深圳市慢性病防治院 [3]广东省疾病控制中心 [4]深圳市宝安区公明医院

出　　处：《中华医院管理杂志》2005年第7期464-467,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(编号:30371233)广东省科技厅立项课题(编号:A2003691)

摘　　要：目的对深圳市社区卫生服务的利用程度和影响因素进行分析。方法采用整群随机抽样方法进行调查,采取描述性方法对社区卫生服务的健康促进利用、单项利用和综合利用情况进行分析。结果社区卫生服务综合利用率为35.90%;单项服务利用最多的是医疗服务和药品购买,其次是一般体检、健康指导、疾病预防等服务。结论社区卫生服务布局、方便程度以及对社区卫生服务的了解程度有利于提高社区卫生服务的利用率,而居住在特区、学生、大学文化程度等因素对社区卫生服务利用有负面影响。Objective To analyze the utilization of community health services(CHS) and influencing factors in Shenzhen. Methods Surveys were conducted by means of cluster random sampling and utilization of CHS for health promotion, utilization of single services and integrated utilization were analyzed using descriptive methods. Results The rate of integrated utilization was 35.90% and the most utilized single services were patient care and drug purchase, with general physical checkup, health guidance and disease prevention coming next. Conclusion Factors such as the layout, convenience and knowledge of CHS are conducive to enhancing the rate of CHS utilization whereas factors such as residence in a special economic zone, student status, and higher educational backgrounds have a negative influence on CHS utilization.

关 键 词：社区卫生服务利用 影响因素分析 深圳市 整群随机抽样方法 利用程度 利用情况 药品购买 医疗服务 健康指导 疾病预防 了解程度 方便程度 文化程度 利用率 描述性 等因素 

分 类 号：R197.1[医药卫生—卫生事业管理] R153.2[医药卫生—公共卫生与预防医学]