广东顺德居民对部分基本公共卫生服务项目接受状况的调查  

Access to parts of basic public health services for residences: Results of a community-based survey in Shunde District of Guangdong

作　　者：申动[1] 熊益权[1] 吴娴波[1] 陈清[1] 俞守义[1] 

机构地区：[1]南方医科大学公共卫生与热带医学学院流行病学系,广东广州510515

出　　处：《中华疾病控制杂志》2015年第7期726-729,734,共5页Chinese Journal of Disease Control & Prevention

摘　　要：目的了解目前居民对我国基本公共卫生服务内容的接受状况和影响因素。方法 2013年7月,采用基于社区的方便抽样方法,抽取广东省佛山市顺德区15岁以上的居民进行问卷调查,调查其对部分基本公共卫生服务项目的知晓和接受状况,并分析有关影响因素。资料分析采用SPSS 17.0软件。结果发放了2 000份调查表,回收有效的调查表1 887份,有效应答率为94.35%。应答者平均年龄为（33.4±11.7）岁,男性966人（51.19%）,女性921人（48.81%）。有51.56%（973/1 887）的调查对象表示听说过＂基本公共卫生服务＂。询问是否接受过健康生活方式指导、疾病防治知识、建立健康档案或随访服务,有94.65%的应答者表示至少接受过其中1项服务,4项服务的覆盖率分别在25.23%-43.67%之间。国家机关、国企和事业单位人员、居住当地时间长以及有城镇职工医疗保险者所接受的服务率较高。结论社区居民对国家基本公共卫生服务的知晓和接受服务率尚有待进一步提高,医疗保险是影响服务接受率的重要因素。Objective To understand the current status of access to basic public health services and its influencing factors in community resident in Guangdong.Methods A community-based cross-sectional survey with convenience sampling method was conducted to resident aged over 15 years old in Shunde District,Guangdong Province,July 2013.The self-administered questionnaire was designed to collect data of demographics of the residents,status of access to parts of basic public health services and its influencing factors.The data were analyzed by using SPSS 17.0.Results A total of 2 000 questionnaire were delivered to residences.The valid response rate was 94.35%.The mean age of respondents was（33.4 ±11.7） years old.Male and female respondents accounted for 966（51.19%） and 921（48.81%）,respectively.Of the participants,51.56%（973 /1 887） answered that they had heard of basic public health services.For four types of the services surveyed,including guidance to healthy life styles,awareness about prevention and treatment of diseases,resident health records and following-up,94.65% of participants answered that they had received at least one type of these services.Access rates of these four services were 25.23%-43.67% in the participants.High access rates were seen in the people who worked for government departments,public institutions and state-owned enterprises.In addition,high access rates were seen in the people who were covered by medical insurance system for urban employees and the people who lived a long time in the local district.Conclusions The results indicate a necessity of improvement on the awareness rate and the access rates of national basic public health services in community residences.Medical insurance is the major factor influencing access rates of basic public health services for community residents.

关 键 词：广东 卫生服务研究 问卷调查 

分 类 号：R197.1[医药卫生—卫生事业管理]