上海市康健社区居家老年人医养结合服务需求和利用调查  

Survey of the demand and utilization of combination of medical service and pension service among the home-based elderly people in Kangjian Community in Shanghai

作　　者：陈洪波 杨华 虞智杰 周大双 徐东浩[1] 王新[5] CHEN Hongbo;YANG Hua;YU Zhijie;ZHOU Dashuang;XU Donghao;WANG Xin(Kangjian Community Health Service Center of Xuhui District,Shanghai 200233,China;General Practice of Zhongshan Hospital,Fudan University,Shanghai 200032,China;Second Ward of Kangjian Community Health Service Center of Xuhui District,Shanghai,200233,China;Administrative Office of Kangjian Community Health Service Center of Xuhui District,Shanghai 200233,China;Department of Medical Services of Kangjian Community Health Service Center of Xuhui District,Shanghai 200233,China)

机构地区：[1]上海市徐汇区康健街道社区卫生服务中心,上海200233 [2]复旦大学附属中山医院全科,上海200032 [3]上海市徐汇区康健街道社区卫生服务中心二病区,上海200233 [4]上海市徐汇区康健街道社区卫生服务中心行政办公室,上海200233 [5]上海市徐汇区康健街道社区卫生服务中心医务科,上海200233

出　　处：《上海医药》2020年第12期18-21,24,共5页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨居家老年人对医养结合养老服务的认知、相关政策知晓程度及对社区卫生服务的需求、利用等情况,从而提出进一步提升医养结合服务内涵、促进健康老龄化的相关建议。方法:于2018年6-8月采用分层随机抽样方法选取上海市徐汇区康健社区5个小区、每个小区150名老年人作为研究对象进行问卷调查,共发放有效问卷750份,回收有效问卷750份,有效回收率100.0%。结果:556名(74.1%)老年人罹患慢性病,260名(34.7%)老年人罹患2种及以上慢性病。582名(77.6%)老年人就诊首选社区卫生服务中心或社区卫生服务站,不同家庭月收入的老年人对医疗机构的选择差异具有统计学意义(P <0.05)。签约人群与未签约人群相比,首诊医疗机构为社区卫生服务中心和社区卫生服务站的比例更高,就诊频次也更频繁(P <0.05)。508名(67.7%)老年人知晓"1+1+1"组合签约服务,537名(71.6%)老年人已进行"1+1+1"组合签约。223名(29.7%)老年人知晓上海正在推行长期护理保险制度,535名(71.3%)老年人知晓社区卫生服务中心提供居家医疗服务项目。结论:应进一步提升基层医疗机构服务能力,加强公共媒体宣传力度,加大对社区卫生相关新政策的宣传和解读;同时充分考虑老年群体的年龄、健康状况、需求等各方面差异,提供个性化的医疗卫生服务。Objective:To explore the cognition,policy awareness,demand and utilization of community health services of home-based elderly people on the combination of medical service and pension service,so as to put forward relevant suggestions for further improving the connotation of the combination of medical service and pension service and promoting healthy aging.Methods:From June to August 2018,a stratified random sampling method was adopted to select 150 elderly people from 5 areas in Kangjian Community in Xuhui District,Shanghai as research objects for questionnaire survey.A total of 750 valid questionnaires were issued,750 valid questionnaires were recovered,and the effective recovery rate was 100.0%.Results:Five hundred and fifty-six(74.1%)of the elderly had chronic diseases,and 260(34.7%)had two or more chronic diseases.The community health service center or community health service stations were the first choice for 582(77.6%)of the elderly patients,and there were statistically significant differences in the choice of medical institutions among elderly patients with different monthly incomes(P<0.05).Compared with the unsigned group,the proportion of the first visit medical institutions of the community health service center and community health service stations was higher in the signed group,and the frequency of medical visits was also higher(P<0.05).Five hundred and eight(67.7%)of the elderly were aware of the“1+1+1”combination signing service,and 537(71.6%)of the elderly had signed the service.Two hundred and twenty-three(29.7%)of the elderly were aware that Shanghai was implementing a long-term care insurance system,and 535(71.3%)were aware that community health service centers offered home medical services.Conclusion:We should further improve the service capacity of primary medical institutions,and strengthen the public media publicity of new policies related to community health;at the same time,the differences in age,health status,needs and other aspects of the elderly group should be fully considered to p

关 键 词：居家老年人 医养结合 社区卫生服务 需求调查 

分 类 号：R197.1[医药卫生—卫生事业管理]