卢芸,田密,朱焱
LU Yun,TIAN Mi,ZHU Yan

• 1:贵阳医学院公共卫生学院
• 2:贵阳医学院

摘要(Abstract)：

目的:分析老年居民对社区卫生服务的利用情况及影响因素,为基层医疗机构更好地开展老年卫生服务提供依据。方法:选择贵阳市云岩区某社区为调查区域,采用分层随机抽样的方法,对509名60岁及以上老年居民进行问卷调查。结果:509名社区老年居民两周患病率为14.3%,慢性病患病率为54.2%,两周就诊率为12.4%;经济月收入低者患病率较高,差异有统计学意义(P<0.05);老年女性、初中及以上学历的老年居民慢性病患病率较高,差异有统计学意义(P<0.05);独居老年人、经济月收入低者就诊率较高,差异有统计学意义(P<0.05);门诊常见病诊治、慢性病防治、健康档案管理、家庭访视等社区老年卫生服务在文化程度高与经济收入高者中的利用度较低,差异有统计学意义(P<0.05);慢性病患者在慢性病防治、慢性病管理、用药指导和饮食指导中的利用度较高,差异有统计学意义(P<0.05)。结论:老年居民社区卫生服务项目的整体利用率不高,年龄偏大、文化程度高、无慢性病、医保报销属地都是影响社区老年居民卫生服务项目利用率的因素。
Objective: To discuss utilization and influencing factors of community health services for elderly residents and provide the basic for grassroots medical institutions to carry out community health services better. Methods: Stratified random sampling technique was adopted to conduct a questionnaire survey in 509 elderly people. Results: Among 509 elderly people,two-week prevalence rate was14. 3%,the prevalence rate of chronic diseases was 54. 2% and two-week visiting rate was 12. 4%.The less monthly income,the higher the prevalence rate( P < 0. 05). The elderly women and the elderly people with education of junior high school or above had higher rates of chronic diseases than other residents( P < 0. 05). The solitary elderly people and the elderly people with lower income had higher rates of visiting a doctor within two weeks than others( P < 0. 05). The community elderly health services including clinic diagnosis and treatment of common diseases,chronic disease prevention,health file management,and home visit were not frequently utilized in those elderly people who were highlyeducated and in those elderly people with high income( P < 0. 05). The prevention of chronic diseases,chronic disease management,medication and diet guidance were utilized frequently in those elderly patients with chronic diseases( P < 0. 05). Conclusion: As a whole,the community elderly health services are not fully utilized in elderly residents,and influencing factors include education,medicare reimbursement dependency,etc.

关键词(KeyWords)： 社区卫生服务;老年人;卫生调查
community health services;aged;health surveys

Abstract:

Keywords:

基金项目(Foundation): 贵州省科技厅科技计划课题[黔科合LH字(2014)7095号]

作者(Author): 卢芸,田密,朱焱
LU Yun,TIAN Mi,ZHU Yan

DOI: 10.19367/j.cnki.1000-2707.2015.04.011

参考文献(References)：

• [1]朱一胜,丁益民,顾朝阳,等.2010年江苏省常州市钟楼区居民社区卫生服务需求与利用分析[J].中国健康教育,2013(3):235-239.
• [2]马菲,曲成毅,王婷,等.太原社区不同医保老年人卫生服务利用研究[J].中国公共卫生管理,2008(3):229-331.
• [3]陈英耀.卫生服务评价[M].上海:复旦大学出版社,2007(3):46-54.
• [4]何顺锋,何旭研,林沛卿,等.佛山市老年人社区卫生服务知晓与利用现状调查[J].广西医学,2013(6):796-798.
• [5]国家卫生和计划生育委员会统计信息中心.2013年中国卫生统计年鉴[R].北京:中国协和医科大学出版社,2013:254-258.
• [6]蔡毅媛,黄文湧,杨敬源,等.毕节氟病区居民卫生服务需求与利用状况调查[J].中国公共卫生,2014(4):490-492.
• [7]黄文湧,王森,杨敬源,等.贵州省城乡老年人卫生服务需求与利用调查[J].贵阳医学院学报,2009(6):609-612.
• [8]王佳.德阳市老年居民社区卫生服务机构利用情况和满意度调查[J].社区医学杂志,2013(1):52-53.
• [9]张小曼,王洪侠,李慧敏.徐州市老年居民社区卫生服务利用状况及影响因素分析[J].中国实用护理杂志,2013(16):5-7.

文章评论(Comment)：