论文部分内容阅读
目的了解居民对社区卫生服务的需求与利用状况,为构建与居民需求相适应的合理医疗服务体系提供依据。方法 2015年7月—9月采用目的抽样法,对全国20个省级行政区内的社区居民进行关于全科团队式服务带给居民的实惠的问卷调查,并采用SPSS 13.0数据分析。结果共发放调查问卷1 300份,有效回收问卷1 273份。221名居民知晓全科团队人员构成情况,这部分居民对全科团队人员构成中的中医医生及妇科、儿科医生知晓率较低,分别为70.14%、75.11%。1 273名居民对全科团队开展医疗服务内容(包括疾病诊疗、保健咨询、健康教育、开药)知晓率分别为70.46%、61.19%、59.62%、67.56%,居民愿意接受全科团队提供的12项医疗服务内容排名前5位的分别为开药(77.77%)、打针(74.08%)、保健咨询(73.21%)、健康教育(70.54%)、计划免疫(64.49%)。433名慢性病患者在社区就医前后变化的最为明显的是自我健康管理意识的增加(70.67%),其次为健康生活方式改善(56.35%)。结论社区全科团队应以居民客观需要和现实需求作为医疗资源配置的依据,同时结合医疗服务的供给能力,调整医疗服务重点,引导居民合理利用医疗服务。
Objective To understand the residents ’needs and utilization of community health services, and to provide a basis for constructing a reasonable medical service system that suits residents’ needs. Methods From July to September of 2015, the purpose of sampling method was used to survey the community residents in 20 provincial-level administrative regions in China. The questionnaire survey was carried out on the basis of team-based service provided by the general staff and SPSS 13.0 was used to analyze the data. Results A total of 1 300 questionnaires were distributed and 1 273 questionnaires were effectively collected. 221 residents were aware of the composition of the general team of staff, this part of the residents on the composition of the GP team of doctors and gynecologists, pediatricians awareness is low, respectively, 70.14%, 75.11%. 1 273 residents were 70.46%, 61.19%, 59.62%, 67.56% respectively of the general medical service contents (including disease diagnosis and treatment, health consultation, health education and prescribing), and residents were willing to accept The top five medical service contents were premedication (77.77%), injection (74.08%), health consultation (73.21%), health education (70.54%) and immunization (64.49%). The most obvious change of 433 chronic patients before and after community consultation was the increase of self-health management awareness (70.67%), followed by healthy lifestyle improvement (56.35%). Conclusion The community general team should base on the residents’ objective needs and actual needs as the basis for the allocation of medical resources. At the same time, the medical service should be adjusted according to the supply capacity of medical services to guide residents to make rational use of medical services.