苏州市社区卫生服务可持续性发展的调查分析  

A survey on sustainable development of community-based medical service in Suzhou

作　　者：薛小玲[1] 钮美娥[1] 毛爱妹[1] 

机构地区：[1]苏州大学附属第一医院苏州大学护理学系,江苏省215006

出　　处：《中国护理管理》2006年第2期23-25,共3页Chinese Nursing Management

基　　金：苏州市科协软科学研究项目(2003-59)

摘　　要：目的:了解社区居民健康状况及就医方式,为制定社区卫生发展策略提供依据。方法:对13个社区860名居民进行了问卷调查。结果:84.8%的居民现在或者曾经有过健康问题,49.6%的居民患有慢性疾病;患轻微疾病时居民求助于社区保健站的比例略高于求助于区级医院及市级医院的比例;患一般性疾病、严重疾病及慢性病时求助于市级医院的比例均高于求助于社区保健站及区级医院的比例。52.3%的居民医疗费用占其家庭收入10%以上,48.5%的居民表示医疗费用支出影响了家庭生活。结论:社区居民对社区卫生服务的需求将大大增加,完善社区卫生有关政策、财政、法律机制以及加快社区卫生专业人才的培养是社区卫生服务可持续发展的关键。Objectives： To examine the healthy status and approaches of resorting to medical help among the residents, so as to provide evidence for the development strategies of community-based medical service. Methods：860 residents in 13 communities were surveyed with questionnaires. Results：84.g% of the residents have. or once had medical problems. Those who suffered mildly severe, severe, or chronic disorders went to city hospitals more than community medial stations or district hospitals 52.3% of the families spent more then 10% of family income on medicine, and medical expense influenced unfavorably the lives of 48,5% families. Conclusions： community-based medical service will be increasingly needed by the residents. Qualified medical staff, as well as improved policies, financial regulations, and law meehanisms is key for the sustainable development of community-based medical service.

关 键 词：社区卫生服务 调查 可持续发展 

分 类 号：R197.1[医药卫生—卫生事业管理] R473.2[医药卫生—公共卫生与预防医学]