长春市居民卫生服务需求与利用调查分析  

Investigation on Demand and Utilization of Health Service for Residents from Changchun City

作　　者：李新[1] 刘伟[1] 靳丹虹 殷彤[2] 张莉莉 

机构地区：[1]长春医学高等专科学校,吉林长春130031 [2]吉林省肿瘤医院门诊办,吉林长春130021 [3]长春吉柴医院,吉林长春130031

出　　处：《中国社会医学杂志》2015年第5期406-409,共4页Chinese Journal of Social Medicine

基　　金：吉林省卫生厅科研课题计划项目(2012ZC006)

摘　　要：目的了解长春市城乡居民卫生服务质量、需求及利用情况,为政府社区卫生服务体系建立与完善提供科学依据。方法采取整群抽样方法,对长春市城乡辖区居民健康状况进行问卷调查。结果长春市居民两周患病率为9.21%,不同年龄段人群间两周患病率差异有统计学意义(P<0.001),其就诊率为5.92%,住院率为4.53%,高于全国人群平均水平;两周内患病就诊和未就诊患者比例分别为80.78%和10.22%;居民住院原因以救治疾病为主,占67.94%。结论长春市居民卫生服务利用率有待提高,农村居民环境因素不同程度地影响着居民卫生服务需求,是卫生服务需求与利用的重点保护人群;社区卫生服务应针对城乡居民需求特点,扩大卫生服务范围,提供适宜的卫生服务,满足长春市城乡居民需求与利用,从而提高社区卫生服务质量。Objectives To learn about the quality, demand and utilization of health service for residents from Changchun city, and to provide scientific evidence for the establishment and perfection of community health service （CHS） system. Methods A questionnaire survey was conducted among residents from Changchun city by cluster sampling.Results The two-week prevalence was 9.21%. The difference among different age groups in two-week prevalence was statistically significant （P 〈0.001）. The visiting and hospitalization rates were 5.92% and 4.53% re spectively. The proportions for two-week visiting and un-visiting patients were 80.78% and 10.22%. Residents visit the hospital mainly for treating diseases, occupying for 67.94%.Conclusions The utilization rate of health service for Changchun residents need to be improved. The environmental factors affect the demand for residents from rural areas, who need of the health service the most. CHS should expand service span and provide suitable service accord ing to residents＇ needs to improve service quality.

关 键 词：卫生服务 医疗需求 现况调查 

分 类 号：R197.61[医药卫生—卫生事业管理]