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目的通过调查和分析 ,了解北京安贞社区居民的健康水平和卫生服务利用与需求情况 ,为提高社区卫生服务的有效利用和更有针对性开展防治服务 ,解决本地区居民的主要卫生问题提供依据。方法采用根据 WHO行为危险因素检测调查问卷修订的调查表 ,对北京市安贞社区 2 5岁以上成年人群的健康状况和对卫生服务的利用状况及健康相关行为进行随机抽样调查。结果 1本社区居民的主要健康问题依次是 :心血管病及糖尿病、消化系统疾病、骨关节疾病、呼吸系统疾病。 2目前绝大多数 (81.9% )居民享受公费医疗或大病统筹 ,另有 3.7%享受医疗保险。 383.4 %的居民就医选择部级和市级大医院 ,而对社区卫生服务站的利用率不高 (14 .7% ) ,其原因主要是费用不能报销 (占 6 7% )和不知道有服务站 (17.4 % )。 4居民患病而未及时就医 2 3.4 %归因于医疗服务不便。结论慢性病是本社区的主要健康问题。现有以大医院为主体的医疗保健方式不能充分满足居民需求。现行的医疗制度是导致社区卫生服务站利用率低 ,制约社区卫生服务发展的关键因素。利用基层社区卫生服务机构开展慢性病防治是提高慢性病控制效果的较佳方式
OBJECTIVE Through investigation and analysis, we can understand the health level and utilization and demand of health service in Beijing Ahn Jung community, provide the basis for improving the effective utilization of community health services and more targeted prevention and treatment services and solving the main health problems of residents in this area. . Methods A questionnaire based on WHO behavioral risk factors was used to conduct a random sample survey of the health status of adults over the age of 5 in Beijing Anzhen Community and the utilization of health services and health-related behaviors. Results 1 The main health problems of residents in this community were: cardiovascular diseases and diabetes, digestive diseases, bone and joint diseases, and respiratory diseases. 2 At present, the vast majority of residents (81.9%) enjoy public health care or serious illness co-ordination, and another 3.7% enjoy medical insurance. 383.4% of residents choose to seek medical treatment at ministerial level and municipal level hospitals, while the utilization rate of community health service stations is not high (14.7%). The reasons for this are mainly that the expenses can not be reimbursed (67%) and that there is no service Station (17.4%). 4 residents were sick but did not get medical treatment in time 2 3.4% attributed to medical inconvenience. Conclusion Chronic diseases are the major health problems in this community. The existing health care methods, which take the big hospitals as the main body, can not fully meet the residents’ needs. The current medical system is the key factor leading to the low utilization of community health service stations and restricting the development of community health services. Chronic disease prevention and control using grassroots community health service institutions is a better way to improve the control effect of chronic diseases