天津市某区社区居民住院情况调查  

Study on the prevalence of hospitalization for a certain community residents in Tianjin

作　　者：张毅[1] 宋春华[2] 马骏[1] 杨晶[3] 

机构地区：[1]天津医科大学公共卫生学院卫生统计学教研室,天津300070 [2]天津经济技术开发区卫生防病站 [3]天津医科大学基础医学院数学教研室

出　　处：《现代预防医学》2013年第14期2637-2639,共3页Modern Preventive Medicine

摘　　要：目的通过对天津市南开区社区居民1年内因病住院情况进行调查,了解当前病床卫生服务需求现况,为合理配置卫生资源,有效开展社区卫生服务提供客观参考依据。方法采用多阶段随机整群抽样方法获取研究样本人群,利用自制问卷对社区居民进行入户调查。结果被调查人群月累积住院率为42.67‰;18岁以下人群累计住院率为9.44‰,低于成年人群的45.04‰(P=0.000)。在总调查人群住院病因中,排在前5位的分别是冠心病、糖尿病、脑血管疾病、高血压和白内障。结论社区居民月累计住院率水平较高,随着人口老龄化发展,慢性病已成为影响社区居民健康的主要问题;居民住院多数倾向于选择大医院,因此,大医院服务压力较大,应注重基层医疗机构的建设,加强卫生资源需求引导,提高医疗服务系统整体效率。OBJECTIVE To understand the prevalence of hospitalization of community residents in Tianjin so as to propose references for allocating health resources and offer medical services effectively and smoothly. METHODS Sample population was obtained by multistage cluster random sampling and the data was collected by means of questionnaire from one door to the next. RESULTS The cumulative prevalence of hospitalization （CPH） was 42.67‰. The group （age﹤18） got a lower CPH （9.44‰） than the adults group （45.04‰）with a statistical differene （P = 0.000）. The first 5 sorts of causes to the hospitalization were coronary heart disease, diabetes mellitus, cerebrovascular disease, hypertension and cataract. CONCLUSION Community residents have a relative high prevalence of hospitalization. With the development of aging , chronic and non-communicable diseases have become the principal problems. As the current medical system bears a moderate burden , more attention should be paid to the primary medical service and institution to optimize limited medical source so as to get optimal productivity.

关 键 词：社区居民 累计住院率 家庭病床 

分 类 号：R473.2[医药卫生—护理学]