温州市居民选择社区卫生服务机构就医相关因素调查及对策  

Utilization of Community Health Service and Related Factors

作　　者：陈爱华[1] 徐永强[1] 潘晓芬[1] 王玲琴[1] 

机构地区：[1]温州医学院附属第二医院,浙江温州325000

出　　处：《护理学报》2010年第7期71-74,共4页Journal of Nursing（China）

基　　金：温州市鹿城区科技局项目(R080108)

摘　　要：目的了解社区居民对社区卫生服务机构的利用情况,寻求和探讨社区医院水平低、能力弱、吸引力差的原因,为制定社区卫生服务发展策略提供依据。方法从温州市鹿城区、龙湾区、瓯海区中随机抽取25个社区进行整群抽样调查。采用自行设计的问卷,内容包括社区居民的人口学资料、健康状况、社区卫生服务需求和利用情况等。同时对7家社区卫生服务机构进行实地考察与个别访谈。结果知道当地有社区卫生服务机构的社区居民508名占84.8%,其知晓途径主要为"路过看到";方便快捷、价格适宜、服务态度好是居民选择社区卫生服务机构的前3位原因,而对医务人员水平不放心、对社区卫生服务机构的服务不了解、对社区卫生服务机构药价不放心是不选择社区卫生服务机构的前3位原因;居民对社区卫生服务项目的需求与利用情况不平衡,购药、治疗和体检分别占57.4%、46.2%、25.5%,而对健康咨询、慢性病随访、康复服务、家庭病床等服务只占10.6%、10.4%、1.7%、0.6%。结论需要大力宣传社区卫生服务的意义、性质及内涵,转变人们观念;整合现有卫生资源,建立相应机制,有效提升社区卫生服务机构的服务能力。Objective To understand the utilization of the community health service so as to seek and explore the causes of low level,weak capacity and poor attractiveness of community hospitals.Methods 25 communities were selected randomly from Lucheng District,Longwan District,Ouhai District of Wenzhou City for the survey.A survey was performed with self-designed questionnaires,which included demographic data,healthy status,utilization and needs for community health service.Meanwhile,field visits and individual interviews were conducted among the 7 community health service centers.Results 508 residents from the communities knew the community health service,accounting for 84.8%,and their way to know the service was ＂happening to see it when coming across＂.The first three reasons why they choose the community health service were convenience,low cost and good service attitude,while the first three reasons why they do not choose the community health service were worry about their medical quality,knowing less about the community service and worry about the prices of the medicine.There was an imbalance between their needs and their utilization of the service：medication purchase,medical treatment and health examination accounted for 57.4%,46.2% and 25.5%,respectively,while health consultation,follow-up for chronic diseases,rehabilitation service and family sick beds for 10.6%,10.4%,1.7%,0.6% respectively.Conclusion It is urgent to publicize the importance,nature and connotation of community health service for the purpose of changing people＇s attitudes.Integration of existing health resources and establishment of the corresponding mechanisms can effectively enhance service capabilities of community health service.

关 键 词：温州市 社区卫生服务 需求 利用 社区护理 

分 类 号：R473.2[医药卫生—护理学]