南昌市社区就诊居民基本公共卫生服务利用现状调查  

Essential Public Health Services Utilization Status among Community Residents for Clinical Visits in Nanchang City: A Status-quo Survey

作　　者：李燕[1] 廖新利 周小军[3] 端翔[1] 吴鸿娇[1] 徐兆[1] 

机构地区：[1]南昌大学医学院研究生院,南昌330006 [2]江西省新干县疾病预防控制中心流行病科,江西吉安331300 [3]南昌大学公处卫生学院社会医学与卫生事业管理教研室,南昌330006

出　　处：《中国循证医学杂志》2014年第5期517-521,共5页Chinese Journal of Evidence-based Medicine

基　　金：江西省卫生厅普通科技计划(编号:20132022)

摘　　要：目的了解南昌市社区就诊居民对基本公共卫生服务的知晓和利用情况,为促进有效利用公共卫生服务提供依据。方法采用分层抽样法,随机抽取南昌市5个行政区的20家社区卫生服务机构,对就诊居民进行公共卫生服务的知晓与利用调查。采用EpiData 3.0软件建立数据库,SPSS 17.0软件进行统计分析。结果共调查500例就诊居民,其对基本公共卫生服务的知晓率为77.6%,但不同辖区的知晓率差异较大(χ2=75.893,P=0.000),其中湾里区知晓率最高为91.0%,西湖区最低为47.0%。就诊居民在社区卫生服务机构的建档率为59.2%,不同辖区建档率差异有统计学意义(χ2=110.493,P=0.000),湾里区最高为84.0%,青山湖区最低为40.0%。公共卫生服务对象对基本公共卫生服务总利用率达95.8%,且不同辖区总利用率差异无统计学意义(χ2=7.772,P=0.100),然而不同人群对基本公共卫生服务的利用率差异有统计学意义(P<0.05)。结论南昌市社区卫生服务机构就诊居民对基本公共卫生服务的知晓率及建档率不高,但利用率较高,5个辖区居民对基本公共卫生服务的利用情况也不一致。应针对不同辖区人群加强社区基本公共卫生服务知识的宣传,促进不同辖区之间的共同发展,并提高各人群的基本公共卫生服务利用情况,进一步实现基本公共卫生服务均等化的目标。Objective To get known of the knowing and utilization of essential public health services among community residents for clinical visits in Nanchang city, and to provide evidence for promoting the effective use of public health services. Methods A total of 20 community health services （CHS） organizations were finally selected by stratified random sampling method from 5 administrative regions in Nanchang city. Questionnaire survey about the knowing and utilization of public health services was performed to the 500 residents. We used EpiData 3.0 software to establish the database and SPSS 17.0 software for statistical analysis. Results The awareness rate about essential public health services among them was 77.6% in Nanchang, which was highest to 91.0% in Wanli district and lowest to 47.0% in Xihu district. The differences between the administrative regions were significant （X^2=75.893, P=0.000）. The archiving rate in CHS organizations among visits was 59.2%, which was up to 84.0% in Wanli district and lowest to 40.0% in Qingshanhu district. It also showed statistical significance between the regions （X^2=110.493, P=0.000）. The total utilization rate about essential public health services was 95.8% in the population, which was no significant difference between the regions （X^2=7.772, P=0.100）. However, the utilization rate in different populations was statistically significant （P〈0.05）. Conclusion The awareness rate and archiving rate about essential public health services among the residents in CHS organizations in Nan- chang was not high, but the utilization rate was much higher, which was different among the administrative regions. The CHS organizations should strengthen the publicizing of essential public health services knowledge for the people in different regions to improve the co-development of the regions. In addition, it is also necessary to improve the use of community health services among the populations to achieve the goal about the equalization of essential public health servic

关 键 词：基本公共 卫生服务 利用 知晓 就诊居民 横断面调查 

分 类 号：R197.1[医药卫生—卫生事业管理]