杭州市下城区社区居民对个体化医疗服务的需求意愿及其影响因素研究  

Demand of Residents in Xiacheng District of Hangzhou City for Personalized Medical Services and Its Influencing Factors

作　　者：李金涛[1,2] 杨磊[1] 谭晓华[1] 杨春白雪 林建潮[1] 孟强[1] 

机构地区：[1]杭州师范大学医药卫生管理学院,浙江省杭州市310036 [2]杭州市疾病预防控制中心健康教育所

出　　处：《中国全科医学》2010年第31期3559-3561,共3页Chinese General Practice

基　　金：杭州市属高校重点实验室科技创新项目(20090233T07)

摘　　要：目的了解社区居民对个体化医疗服务的需求意愿及其影响因素,为探讨发展个体化医疗提供建议。方法采用典型抽样方法,对杭州市下城区10个社区的居民进行问卷调查。结果居民关注检测的前三位疾病是:恶性肿瘤(47.1%)、心血管疾病(37.7%)、脑血管疾病(29.3%);居民期望获得的个体化预防保健措施为:告知预防措施(45.3%)、为其设计科学的健康生活计划(42.8%)、提供预防药物(39.9%)、相关健康咨询热线(29.0%);居民所信赖的检测机构主要是:医院和疾控中心(77.7%)、体检中心(26.4%);影响居民对不同类型的个体化医疗保健措施需求意愿的因素主要有:家庭收入、年龄、对基因检测服务知晓情况、有无家庭成员患病等(P<0.05)。结论开展个体化医疗服务应考虑以医院、疾控中心和公立体检中心为依托,以技术已经成熟的重大常见病种为主,优先在年轻人群、家庭中有患病成员和经济条件较好的家庭中,采用居民易于接受的传统检测方法,面向公众逐步开展试点工作。Objective To know the demand willingness of the community residents for personalized medical services and its influencing factors,in order to provide suggestion for developing personalized medicine.Methods The typical sampling was used to conduct questionnaire survey among the residents from 10 communities in Xiacheng district of Hangzhou city.Results Top three diseases concerned by the responders were cancer （47.1%）,cardiovascular disease （37.7%）,and cerebrovascular disease （29.3%）.The responders expected to accept personalized medicine measures were as follows：informed preventive measures （45.3%）,designing life style and health plans for them （42.8%）,and supporting preventive medicine （39.9%）,and related health counseling hotline （29.0%）.The testing organizations which residents trusted were mainly the following：hospitals and centers of disease control （77.7%）,and physical examination centers （26.4%）.The most important influencing factors in willingness of accepting personalized medical services were family incoming,age,awareness of gene testing,and sick member in family （P〈0.05）.Conclusion The implementation of personalized medical services should take hospitals,centers of disease control and public centers for physical examination,treat the important and common diseases for which the skills have already matured,carry out firstly among the young population and in families with sick member and a better economic condition,and apply the traditional testing methods that the residents are likely received.Besides,the pilot public work needs to be gradually carried out.

关 键 词：个体化医疗服务 需求意愿 影响因素 

分 类 号：R-1[医药卫生]