大连市居民门诊服务需要与需求分析  

Need and demand of outpatient service among residents in Dalian city

作　　者：徐曼[1] 周令[1] 陈麒[1] 盛立英[1] 孙扬[1] 田丽娟[1] 王虹[1] 王婷婷[1] 

机构地区：[1]大连医科大学公共卫生学院,辽宁大连116044

出　　处：《中国公共卫生》2014年第9期1207-1209,共3页Chinese Journal of Public Health

摘　　要：目的了解大连市居民门诊服务需求现状及影响因素。方法采用多阶段分层整群随机抽样的方法,对13 521名年龄≥15岁的居民进行家庭健康询问调查。结果被调查居民2周患病率为8.20%,影响因素为性别、年龄、婚姻状况、文化程度、就业状况、慢性病;2周患者就诊率64.02%,2周患者未就诊比例为35.98%,其中73.68%采取自我医疗,26.32%的未就诊患者未采取任何治疗措施,影响居民门诊服务有效需求的主要原因是自感病轻与经济困难。结论高龄与患慢性病是增加居民门诊服务需要量的主要因素,居民门诊服务需求有提升空间。Objective To examine the status and impact factors of outpatient service among residents of Dalian city, Liaoning province. Methods Multi-stage stratified cluster random sampling was used to select 13 521 inhabitants aged ≥15 years for a home visit questionnaire survey on health and medical service conditions. Results Among the participants of the survey ,the two-week disease prevalence rate was 8.20% and the influencing factors of the prevalence rate were gender, age, marriage, education, employment status and chronic disease. The two-week patients＇ outpatient visit rate was 64. 02% and the rate of the residents with illness but without outpatient visit in two weeks was 35.98%. Of the residents with illness but without outpatient visit in the two weeks,73.68% had self-medication and 26. 32% did not re- ceive any medication. The major factors affecting the effective need were self-perceived minor condition of the disease and economic consideration. Conclusion The main influencing factors of outpatient service need are older age and suf- fering from chronic diseases among the residents of Dalian city and there is a potential improvement in outpatient service demand for the residents.

关 键 词：2周患病率 门诊服务需要 门诊服务需求 

分 类 号：R197.1[医药卫生—卫生事业管理]