武汉市60岁以上老年人卫生服务需求及利用  

Investigation on health service demands and utilization of elderly aged 60 and over in WuHan

作　　者：张志峰[1] 周敦金[1] 朱朝阳[1] 张刚[1] 万俊[1] 夏江[1] 龚洁[1] 

机构地区：[1]武汉市疾病预防控制中心,武汉430015

出　　处：《公共卫生与预防医学》2013年第2期50-52,共3页Journal of Public Health and Preventive Medicine

摘　　要：目的了解武汉市60岁以上老年人医疗卫生服务需求及利用情况,为卫生决策提供依据。方法采用分层随机整群抽样的方法,随机抽取2 171名在武汉市居住满1年的60周岁以上老年人进行问卷调查。结果 60岁以上老人慢性病患病率高达65.00%,前3位慢性病依次为:高血压、糖尿病和冠心病;在过去1个月中有病而未就医者占24.60%;从未做过体检的占30.00%;他们最希望得到的保健知识为常见病知识,最需要的保健服务是定期体检。结论老年人的卫生服务需求不断加大,而卫生服务利用情况不容乐观,公共卫生服务应采取老年人乐于接受的卫生保健服务模式,服务内容应有针对性,要根据老年人的需求进行调整。Objective To provide guidance for health-policy making by investigating health service needs and utilization for elderly aged 60 and over in WuHan. Methods With stratified group randomly sampling,2 171 Wuhan residents, aged over 60 years and living in Wuhan for at least 1 year,were interviewed person to person by trained public health sur- veyors. Results Prevalence of chronic diseases in elderly aged 60 and over reached as high as 65.00%. The top three leading chronic diseases were hypertension, diabetes and coronary heart disease ;24. 60% of which were ill without consulting doctor in the past month, and 30% of which never had a physical examination. As for health knowledge, they need knowledge of common diseases most, and for health service, they need regular physical examination most. Conclusions Health service needs of the elderly are increasing, but the utilization of health services is not optimistic. Public health services should be provided with appropriate modes, which are ： acceptable for the seniors, the services should based on the needs of the elderly, and can be adjusted according to their demand.

关 键 词：老年人 慢性病 卫生服务需求 

分 类 号：R197[医药卫生—卫生事业管理]