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目的调查深圳市社区居民医疗保健就诊流向及对社区卫生服务的了解程度和态度,分析其与居民年龄、职业、文化程度、健康状况的关系。方法随机抽取8个有代表性的社区,并采用整群随机法抽取2544名居民,调查他们日常医疗保健就诊流向及对社区卫生服务的了解程度和态度。结果2544名居民中选择社卫中心作为日常医疗保健就诊去向的占59.55%,认为有必要在社区内建设社卫中心者占88.71%,不同年龄、职业、文化程度、健康状况的居民就诊流向、对社区卫生服务的了解程度及其实际就诊情况间差异均有显著性意义(P<0.05),居民对社卫中心建设的态度与其年龄、文化程度、职业无关,而与其健康状况有关(P<0.05)。结论深圳市社区卫生服务中心已成为深圳市大多数居民日常医疗保健就诊的主要卫生服务机构,居民的就诊流向和对社区卫生服务的了解程度及在社卫中心的就诊率与其文化程度、职业、年龄和健康状况有关。
Objective To investigate the flow of medical and health care visits in Shenzhen residents and their understanding of attitudes and attitudes towards community health services, and to analyze their relationship with residents’ age, occupation, education level and health status. Methods Eight representative communities were randomly selected and 2,544 residents were sampled using the cluster randomization method to investigate their daily medical care visits and their understanding of community health services. As a result, 5,254 percent of the 2,544 residents chose social security centers as the destination for their daily medical care visits, and 88.7 percent of them were deemed necessary to build social security centers in their communities. The residents of different ages, occupations, education levels, and health status flowed toward the hospital. There was a significant difference in the understanding of community health services and the actual visits (P<0.05). The attitude of residents to the construction of social health centers was not related to their age, education, and occupation, but related to their health status (P< 0.05). Conclusion The Shenzhen Community Health Service Center has become the main health service organization for the majority of residents in Shenzhen for daily medical care visits. The flow of residents’ visits and their understanding of community health services, and their attendance at the community health center and their educational level, occupation, Age and health status.