深圳市社区居民择医意愿及其影响因素分析

Analysis on willingness of selecting doctors and its influencing factors among community residents in Shenzhen

目的研究深圳市社区居民择医意愿、就诊流向,探讨社区卫生服务利用的价值和可及性。方法在深圳市随机抽取26个社区,968户居民,入户进行家庭健康询问调查,用EPIDATA2·1建立数据库,用SAS软件进行统计分析。结果(1)居民自感病轻时就医方式依次是自我医疗(31·02%)、社区卫生服务中心(20·70%)、市级医院(16·73%);(2)选择社区卫生服务中心的原因依次是方便快捷(79·56%)、服务态度好(36·76%)、价格适宜(18·38%)、能提供健康咨询服务(16·44%)等;(3)社区居民的卫生服务需求依次是健康指导、疾病预防、定期体检、24h应诊等服务。结论社区卫生应以需求为导向开展服务,提高方便程度和可及性,促进社区卫生服务得到社区居民认同。

Objective To analyze the willingness of selecting doctors, outpatients trend and influencing factors. Methods Household health survey was conducted in 26 communtites, including 968 residents by randomized sampling, EPIDATA 2.1 was used to input the data and SAS was adopted to analyze it. Results （1）When residents suffered from light illness,they usually chose self-treatment （31.02%）, community health service center （20.70%） and local hospitals （16.73%）. （2）The reason of selecting community health service was convenience （79.56%）;kind service attitude of medical staff（ 36.76% ） ; reasonable price （ 18.38% ） and health counsel available （ 16.44% ）. （3） The health care demand ranked as follows ： health guide, disease prevention, timely physical examination and 24-hour answer. Conclusion Community health service should offer service items oriented by health demand, deliver more conveient care and gain the acceptance of local community residents.