金华市婺城区城市老龄化居民慢性病及卫生服务调查  

A survey of chronic diseases and health care service in Wucheng district,Jinhua city

作　　者：陈志毅[1] 王洪歆[1] 朱匡纪[1] 冯彦[1] 蔡祖华[1] 汤建英[1] 杨杰[1] 

机构地区：[1]浙江省金华市婺城区疾病预防控制中心,浙江金华321025

出　　处：《中国农村卫生事业管理》2011年第7期726-728,共3页Chinese Rural Health Service Administration

基　　金：金华市科技局2008年课题;课题编号:20083065

摘　　要：目的:了解城市老龄化居民慢性病状况,探讨老年人卫生服务需求。方法:以WHO全球老龄化与成人健康研究(SAGE)家庭及个人问卷调查资料为基础,采用SPSS13.0做统计学分析。结果:被确诊的主要慢性病(按患病率大小)依次为:高血压、关节炎、白内障、糖尿病、心绞痛;并且随年龄增高患病率上升;过去12个月中,有求医需求者中29.63%的人未获得卫生保健,主要原因是认为病不重、不能负担保健费用和没有时间,住院自付费用平均4 845.1元,非住院平均费用912.5元。结论:应针对老年慢性病患病率的差异,加强老年慢性病防治规划,改进不同卫生机构服务内容和服务方式,完善老年人卫生保健的政策法规和医疗保险制度,以适应老年人对医疗服务需求多样化。Objective To explore the status quo of chronic diseases among aging people and to know about their needs for health care service.Methods Data of questionnaire based on the WHO global aging and adult health study(SAGE) were statistically analyzed with SPSS13.0.Results The chronic diseases diagnosed,ranked according to the prevalence,were mainly hypertension,arthritis,cataract,diabetes,and angina,which increased as age increased.In the past 12 months,29.63% of people who had medical needs did not see a doctor,due to minor disease,inability to afford medical expenses or spare some time.As for expenses paid by individuals,those for hospitalization averaged 4 845.1 yuan,and for others averaged 912.5 yuan.Conclusion Prevention and control of chronic diseases for the aged should be promoted according to the differences in prevalence.Content and mode of health service in different medical institutions should be improved and also policies and medical insurance system for aging people's health service should be promoted so as to meet the diversified needs of the aging people for medical service.

关 键 词：慢性病 卫生服务 全球老龄化与成人健康研究(SAGE) 城市居民 

分 类 号：R195.4[医药卫生—卫生统计学] R592[医药卫生—卫生事业管理]