摘要
目的 了解徐州市社区首诊医改背景下老年居民社区卫生服务利用状况,以及影响社区卫生服务利用的因素.方法 采用分层随机抽样方法,对徐州市1028名老年居民2周内患病及就诊状况、社区卫生服务的可及性及影响其选择社区卫生服务机构就诊的原因进行入户调查.结果 徐州市社区老年居民2周内患病率29.56％,患病老人2周内的就诊比例61.00％,门急诊首选社区卫生服务中心就诊的比例为52.30％；90.08％的老年人可以在15 min到达社区卫生服务中心；年龄、经济水平、是否患有慢性病、对社区卫生服务质量和社区医生技能水平的满意度是影响社区老年居民选择社区卫生服务机构就诊的重要因素.结论 徐州市社区老年居民社区卫生服务利用还有待提高；有效提升社区卫生服务质量和业务水平是吸引老年居民选择社区基层机构就诊的关键因素.
Objective To analyze the utilization and influencing factors for community health service （CHS）of the elderly population under the community first contact care background.Methods 1028 elderly citizens were investigated at their homes with a stratified random sampling method.Results The two-week prevalence rate was 29.56% and the two-week visiting rate was 61.00% of the elderly population surveyed.52.30% of the surveyed objects were willing to choose community health service centers for outpatient.90.08% of the surveyed could get to one community health service center in 15 minutes.The influencing factors of choosing community health centers were age,income,chronic illness,satisfaction of service quality of CHS and the skill of community physicians.Conclusions The utilization level of CHS need improvement for the elderly population.To improve the service quality of CHS and professional skills of community physicians are critical factors attracting elderly population to choose community health centers.
出处
《中国实用护理杂志》
北大核心
2013年第16期5-7,共3页
Chinese Journal of Practical Nursing
基金
江苏省高校哲学社会科学基金项目（2012SJD840010）
关键词
卫生服务利用
社区卫生服务
老年人
社区
Health service utilization
Community health service
Aged
Community
