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目的对上海某社区不同健康水平居民就医行为和影响因素分析,了解居民的医疗需求,指导医院提供满足社区居民需要的卫生服务。方法采用自行编制的调查问卷,内容包含有居民性别、年龄、文化程度及居民对自身健康状况的评价等问题,以及在身体不适时的行为、选择医疗机构的依据、行为和影响因素。由经过培训的医护人员,在社区居委的协助下进行发放、填写。结果健康状况很好和较好的居民在身体出现不适时选择休息及自服药的比例高于健康状况差和较差者;健康状况差和较差的居民选择综合性医院就医的比例高于其他组的居民;健康状况差的居民考虑医疗费用的比例高于其他组。不选择社区医院的原因中技术不够、设备落后、没有药品各组存在差异,健康状况差的居民对设备落后、没有药品因素要求高。结论居民就医行为受个人健康状况影响。要重视健康状况不好居民的医疗行为和影响因素。要合理配制社区卫生服务资源,正确引导居民就医。
Objective To analyze the medical behaviors and influential factors of inhabitants of a certain community in Shanghai, understand the medical needs of residents, and guide hospitals to provide health services that meet the needs of community residents. Methods The self-made questionnaire was used. The questionnaire included the residents ’gender, age, educational level and residents’ evaluation of their own health status. The questionnaire was also used to investigate the behavior, behavior and influencing factors of medical institutions. By trained medical staff, with the help of community committees to issue, fill in. RESULTS: Residents with good health and good health chose to take breaks and self-medication more frequently than those with poor health status and poor health when they had discomfort; those with poor health status and poorer health care rate were more likely to seek medical care in general hospitals Group of residents; poor health residents consider the proportion of medical expenses than other groups. The reasons for not selecting community hospitals are not enough technology, equipment is backward, there is no difference between the various groups of drugs, residents with poor health status lag behind the equipment, there is no need for high drug factors. Conclusion Residents medical treatment is affected by personal health status. Should pay attention to poor health of residents of the medical behavior and influencing factors. We should properly formulate community health service resources and properly guide residents to seek medical treatment.