遵义市城区老年人医疗保健需求调查研究  

A survey on old people's health care needs in Zunyi city

作　　者：伍彩红[1] 邓仁丽[1] 黄议[1] 朱明兰[1] 万霞[1] 周爱婷[1] 陈扬[1] 刘小娜[1] 罗萍[1] 李增秀[1] 

机构地区：[1]遵义医学院护理学院,贵州遵义563003

出　　处：《现代预防医学》2013年第9期1667-1669,共3页Modern Preventive Medicine

基　　金：贵州省教育厅自然科学重点招标项目(黔教科2011022号)

摘　　要：目的了解遵义市城区老年人医疗保健需求,合理配置卫生资源,调控各种供求关系,为制定卫生政策提供依据。方法采用自制问卷对遵义市城区294名老年人医疗保健需求进行调查并分析。结果 96%的老年人参加了医疗保险,1年内参加健康体检的老人50%,从未体检过的老人占30%,出现不适后42%选择在社区卫生服务中心就诊,26%住院治疗。老年人生病后选择医疗机构的标准依次为医疗技术好(76%)、服务态度好(60%)、离家近(54%)、价格便宜(52%)、设备条件好(48%)、医院有熟人(18%)。医疗保健需求依次为全面健康体检(72%)、养生保健(44%)、紧急救护(30%)、健康教育及咨询(26%)、日常生命体征检测(24%)、家庭病床(20%)、心理咨询及疏导(20%)、慢性病治疗护理(18%)、康复指导与训练(16%)。获得医疗保健知识的途径依次为通过家属、同事、朋友介绍(46%)、看电视(30%)、医护人员(16%)、报刊书籍(10%)、社区宣传栏(10%)。结论以需求为导向,组织和提供多样化、全方位的医疗保健服务是解决老年健康问题的关键。OBJECTIVE To understand old people’s health care needs in Zunyi city,to rational ly allocate health resources,regulate supply and demand,provide the basis for the formulation of health policy.METHODS A self-made questionnaire including basic information,health status,medical costs was used,and 294 old people in Zunyi city were investigated.RESULTS 96% of the old people participated in the medical insurance,50% of old people participated physical examination in one year,30% never had physical examination.When felt discomfort,42% of the old people selected treatment in the community health service centers,26% were hospitalized.When sick,their standard selected medical institutions were followed by：medical technology（76%）,good service and good attitude（60%）,close to home（54%）,cheap（52%）,good equipment（48%）,had an acquaintance（18%）.Health care needs were followed by comprehensive physical examination（72%）,health care（44%）,emergency（30%）,health education and counseling（26%）,routine vital signs detection（24%）,family bed（20%）,psychological counseling（20%）,chronic treatment and care（18%）,rehabilitation guidance and training（16%）.Accesses to health care knowledge were followed by family members,colleagues,friends（46%）,watching television（30%）,health care workers（16%）,newspapers and books（10%）,community bulletin boards（10%）.CONCLUSION The key to solve the health problem of old people is to organize and provide a diverse,full range of health care by demand-driving.

关 键 词：老年人 医疗保健 需求 

分 类 号：R195[医药卫生—卫生统计学]