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目的 了解影响某海军部队官兵门诊与住院服务利用的主要因素,积极推进海军部队卫生服务建设。方法 采用分层整群随机抽样,共调查某海军部队官兵 3700名,有效问卷 3566份,有效率 96. 38%,利用Logistic回归模型进行分析。结果 该部队官兵的两周患病就诊率是 52. 96%,门诊供药情况是影响门诊服务利用的最主要因素;年住院率为 7. 68%,文化程度、自感病轻、自我治疗等因素是影响住院服务利用的主要因素。结论 该部队官兵医疗服务需要量大,但利用有待提高。建议开展有针对性的健康教育,使部队官兵增强自我保健意识。卫生管理机构应加大对基层重点保障部位的投入,更好满足基层官兵的医疗服务需要。
Objective To understand the main factors influencing the utilization of outpatients and inpatient services of officers and soldiers of a certain naval unit and actively promote the construction of naval force health services. Methods A stratified cluster random sampling was used to survey 3,700 officers and soldiers of a naval force. 3566 valid questionnaires were collected and the effective rate was 96.38%. Logistic regression models were used to analyze the results. Results The two-week prevalence rate of officers and soldiers in this unit was 52. 96%. Outpatient drug delivery was the most important factor affecting the utilization of outpatient services. The annual hospitalization rate was 7. 68%. The educational level, self-senility and self-treatment Factors such as the impact of hospital service utilization is the main factor. Conclusion The demand for medical services by officers and men in the unit is large, but utilization needs to be improved. It is suggested to carry out targeted health education so that officers and men of the armed forces can enhance their self-care awareness. Health management agencies should increase their investment in grass-roots key support sites and better meet the needs of grass-roots officers and men in medical services.