吉林省慢性病患者社区卫生服务利用现状调查  

Community health service utilization among patients with chronic disease in Jilin province

作　　者：何欢[1] 王畅[1] 甄清[1] 谷雨璐[1] 钟磊 于雅琴[1] 李勇[1] 刘雅文[1] 

机构地区：[1]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021 [2]吉林省卫生厅科技教育处

出　　处：《中国公共卫生》2014年第10期1247-1249,共3页Chinese Journal of Public Health

基　　金：吉林省卫生厅科研基金(2011Z116)

摘　　要：目的了解2012年吉林省慢性病患者社区卫生服务利用现状及其影响因素,为吉林省社区慢性病管理及促进慢性病患者利用社区卫生服务提供依据。方法对吉林省9个市（州）的21 435名18~79岁的常住居民进行慢性病患病率及危险因素调查,采用SPSS16.0软件对数据进行统计分析。结果 66.0%（8 484/12 862）的慢性病患者在调查前1年内未去社区卫生服务中心（站）就诊过;城镇（73.5%）、男性（68.8%）、35~44岁（73.0%）、大专（本科）及以上文化程度（72.3%）、患有1种慢性病（73.6%）及不享受任何医疗保障（75.7%）的慢性病患者未就诊比例均较高（P〈0.001）;不同特征慢性病患者一年内未就诊所考虑的原因不尽相同,63.6%的慢性病患者是因为自觉病轻或自购药,21.2%因为相信大医院的医生和各项检查。结论吉林省慢性病患者社区卫生服务机构未就诊率与国内其他地区基本一致,未就诊的前2位原因分别为自觉病轻或自购药、相信大医院的医生和各项检查。Objective To examine community health service utilization and its influence factors among patients with chronic disease in Jilin province, and to provide a basis for management of chronic diseases and the promotion of community health service utilization among patients with chronic diseases. Methods Using stratified multistage cluster random sampling, a total of 21 435 permanent residents aged 18 -79 years were selected from 9 cities or prefectures in Ji- lin province and surveyed with a questionnaire in 2012. SPSS 16. 0 was used in data analyses. Results Among the resi- dents, 12 862 were self-reported patients with chronic diseases, and of the 12 862 patients, 66. 0% did not visit community health service center or station for treatment or diagnosis of chronic diseases during the previous one year, with the higher proportion of no community health service utilization of 73.5% for those living in urban area, 68.8% for the male, 73.0% for those aged 35 -44 years,72. 3% for those with college education,73.6% for those suffering only one chronic disease,75.7% for those without medical security, respectively（P 〈0. 001 for all）. The causes of no community health service utilization were different among the patients of various characteristics ;63.6% of the patients did not use commu- nity health service because of self-perceived mild disease condition or self-medication and 21.2% because of being diag- nosed by doctors or with instrumental examinations in large hospitals. Conclusion The proportion of no community health service utilization among the patients with chronic diseases in Jilin province is similar to that in other parts of China and major reasons for the patients not using the service are self-perceived mild disease condition or self-mediciation and the believes to the diagnosis made by doctors or based on the result of instrumental examination in large hospitals.

关 键 词：慢性病 慢性病患者 社区卫生服务 利用 影响因素 

分 类 号：R492[医药卫生—康复医学]