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目的:开展白银市社区卫生服务状况和社区居民对社区卫生需求情况的调查,了解白银市社区卫生的综合服务能力,并将其和社区居民的需求进行分析研究,指导白银市社区卫生服务的发展方向、发展思路、政策制定和经费投入等。方法:采取现场调查(普查)和发放调查问卷(抽样调查)相结合的方法获取资料,并对资料进行统计分析。结果:白银市社区卫生的综合服务能力能满足社区居民最基本的卫生需求,但与居民的期望尚有差距;当白银市社区居民有卫生需求时,首先选择社区卫生服务机构的占57.4%;其中60～75岁的居民选择概率最大,青壮年尤其20～40岁之间居民选择概率最小,两者比较差异有统计学意义(χ2=104.16,P=0.00)。另外,白银市社区居民对社区卫生机构所提供的服务项目主观很需要的比例远远大于不需要的比例,差异有统计学意义(χ2=1 271.65,P=0.00)。结论:白银市的社区卫生服务工作虽然取得了较好的成绩,也得到了大部分居民的认可,但仍尚需完善。
OBJECTIVE: To investigate the status of community health service in Baiyin City and the community health needs of residents in Baiyin City, to understand the comprehensive health service capacity in Baiyin City and to analyze the needs of community residents and guide the development of community health service in Baiyin City Direction, development ideas, policy formulation and funding. Methods: Data were collected by on-the-spot investigation (census) and questionnaires (sample survey), and the data were analyzed statistically. Results: The comprehensive service ability of community health in Baiyin City can meet the most basic health needs of community residents, but there is still a gap with residents’ expectation. When community residents in Baiyin City have health needs, 57.4% of them choose community health service organizations first. Among them, residents aged 60-75 years had the highest probability of choosing. Residents in young adults, especially those aged 20-40 years, had the lowest probability of choosing residents. The difference was statistically significant (χ2 = 104.16, P = 0.00). In addition, the proportion of community residents in Baiyin City that subjectively needed service items provided by community health institutions was much larger than the unwanted proportions (χ2 = 1 271.65, P = 0.00). Conclusion: Although the community health service in Baiyin City has achieved good results and obtained the approval of most residents, it still needs improvement.