郑州市老年人社区中医药服务利用现状及影响因素分析  

The Analysis of current situation and influencing factors of elderly people’s utilization of community traditional Chinese medicine services in Zhengzhou City

作　　者：潘璐 姜丽想 许静[1] PAN Lu;JIANG Lixiang;XU Jing(Henan University of Chinese Medicine,Zhengzhou,Henan 450008,China)

机构地区：[1]河南中医药大学,河南郑州450008

出　　处：《中国公共卫生管理》2024年第1期89-91,99,共4页Chinese Journal of Public Health Management

基　　金：河南中医药大学研究生科研创新能力提升计划项目(2023-SHDY-005);河南省高校人文社会科学一般项目(2024-ZDJH0-43);河南科技智库中医药强省战略研究基地调研课题(2022-ZYYQS-14)。

摘　　要：目的分析郑州市老年人对社区中医药服务的利用现状及影响因素,提出更好发挥社区中医药服务在慢性病防治中作用的政策建议。方法采用分层随机抽样的方法,于2022年9月—2023年1月在郑州市4个区内随机抽取社区卫生服务中心,对社区卫生服务中心≥60周岁的200名老年人进行问卷调查;采用二元logistic回归分析影响老年人利用社区中医药服务的因素。结果性别、职业、去社区卫生服务中心是否方便、中医药服务需求程度等因素对老年人利用中医药服务的影响差异有统计学意义(P<0.05)。结论是否收到中医药服务相关宣传、去社区卫生服务中心是否方便以及中医药服务的需求程度是影响老年人接受中医药服务的关键因素。因此,应当通过加强对老年人中医药知识的教育、加大对中医药服务的宣传和推广力度、加强社区卫生服务中心周边建设等措施来提高老年人对中医药服务的利用率。Objective The policy recommendations are proposed to better play the role of community traditional Chinese medicine service(CTCMS)in the prevention and treatment of chronic diseases by analyzing the current situation and influencing factors of elderly people’s CTCMS utilization in Zhengzhou City.Methods The community health service centers(CHSCs)in the four districts in Zhengzhou City were randomly selected by using a stratified random sampling method from September 2022 to January 2023.A questionnaire survey was conducted on 200 elderly people aged≥60 in the CHSCs.Using binary logistic regression analysis to investigate the factors influencing elderly people’s utilization of CTCMS.Results The results of single factor analysis showed there were significant differences in the influencing factors such as gender,occupation,whether it was convenient for them to visit the CHSCs,and the demand level of the CTCMS utilization by elderly people in the community(P<0.05).Conclusion The key factors affecting the elderly’s access to CTCMS are whether they have received relevant publicity on CTCMS,whether it is convenient to visit CHSCs,and the level of demand for CTCMS.Therefore,targeted measures such as strengthening education on traditional Chinese medicine knowledge among the elderly,increasing publicity and promotion of CTCMS,and strengthening the construction of CHSCs should be taken to improve the utilization rate of CTCMS among the elderly.

关 键 词：老年人 社区中医药服务 社区卫生服务中心 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]