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目的了解江西省60岁以上人群医疗服务利用情况,为我国医疗保险针对老年人这一特殊群体改革的提供依据和建议。方法采用整群抽样,以家庭卫生服务调查表及问卷调查的方式对老年人的一般健康状况及卫生服务利用情况进行调查。结果老年人中2周就诊率为7.01%,年住院率为6.00%。城市老年患者主要选择县区级医院就诊,农村老年患者主要选择私人开业的医疗场所就诊,对社区卫生服务站的利用较低。不同的医疗保障制度下,老年人对不同的等级医疗部门的门诊服务利用率不同。结论医疗费用与经济收入成为影响老年人对卫生服务的合理利用的重要因素。完善医疗保险制度改革,积极开展社区卫生服务,建立和推广“预防为主”的新医疗保健观念是解决老年人医疗保健问题的有效途径。
Objective To understand the utilization of medical services in people over the age of 60 in Jiangxi Province, and to provide basis and suggestions for the reform of this special group of medical insurance aimed at the elderly in our country. Methods A cluster sampling method was used to investigate the general health status of the elderly and the utilization of health services in the form of family health service questionnaire and questionnaire. Results The rate of 2-week visit was 7.01% in the elderly and the annual hospitalization rate was 6.00%. Elderly patients in urban areas mainly choose county-level hospitals for treatment. Elderly patients in rural areas mainly choose privately-opened medical treatment places, and use of community health service stations is low. Under different medical insurance schemes, the elderly have different utilization rates of outpatient services to different levels of the medical sector. Conclusion Medical expenses and economic income have become important factors that affect the rational use of health services by the elderly. Improve the health insurance system reform, and actively carry out community health services, the establishment and promotion of “prevention-based ” new concept of health care is to solve the health care of the elderly an effective way.