慢性病人社区卫生服务需求影响因素分析

彭绩; 程锦泉; 刘军安; 贾翠平; 卢祖洵

doi:10.11847/zgggws2005-21-08-20

慢性病人社区卫生服务需求影响因素分析

Analysis on demand of chronic patients and influence factors of community health service in Shenzhen

摘要

摘要:
目的探讨深圳市慢性病病人社区卫生服务需求、利用及其影响因素, 为慢性病社区综合防治的实施提供科学依据。
方法采取分层随机抽样方法, 抽取深圳市26个社区1841名15岁以上常住居民, 对其进行问卷调查。调查内容包括: 人口社会学特征、慢病患病情况、两周患病情况、社区卫生服务实际利用及意愿等。
结果深圳市慢性病患病率为20.86%, 前10位慢性病是高血压、类风湿性关节炎、视力问题、慢性胃肠炎和消化性溃疡、睡眠困难、椎间盘疾病、偏头痛、龋齿、冠心病、糖尿病。因素分析表明, 社区慢病卫生服务受社区康复服务中心设点布局、就诊手续和环节等因素影响。
结论提高社区卫生服务的可及性和方便程度, 才能促进慢性病人有效利用社区卫生服务。

Abstract:
Objective To analyze the demand of chronic patients, utilization and influence factors of community health service(CHS)in Shenzhen, and to evaluate the effect of chronic disease comprehensive based community prev ention and control.
Methods The 26 communities and 1 841 peoples were sampled by random-stratified cluster, and questionnaires were taken.
Results In Shenzhen, the prevalence rate of chronic disease was 20.86%, the top ten chronic diseases were hy pertension, rheumatoid arthritis, sight problem, chronic stomach pain and ulcer, sleeping handicap, intervertebral disease, hemicrania, decayed tooth, cornany heart disease and diabetes.
Conclusion In or der to improve the utilization rate of CHS for chronic patient, the policy-makers should enhance accessibility and convenience of CHS.

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