深圳市社区卫生服务利用群体与就诊疾病特点分析

An Analysis on the Characteristic of Patients and Diseases of Community Health Services in Shenzhen

目的分析深圳市社区卫生服务的就诊人群和就诊疾病特点。方法采取描述性方法探讨社区卫生服务就诊人群和疾病病种、疾病系统和疾病严重程度等。结果就诊人群的特点(1)多为工人、儿童、学生、农民和家务人员等群体;(2)学历层次多在高中及以下;(3)以暂住人口和自费人群为主;(4)经济收入比较低。就诊病种中,排在前5位的疾病分别是上呼吸道感染(29.12%),皮肤外伤(8.96%),结膜炎(8.11%),急性支气管炎(4.20%)和急性胃肠炎(4.19%)。就诊病情以轻度为主(76.79%)。结论社区卫生服务体现了关注重点人群和弱势人群的工作方向,起到了合理分流患者的作用。

Objective The study was designed to analyze characteristic of patients and diseases of community health services （CHS） in Shenzhen. Methods The descriptive analysis was applied to probe into the patients characteristic, disease system and severity of diseases. Results The CHS patients had such common points as follows： （ 1 ） most of them were workers, children, students and housework and so on; （2） Senior high school or belower education background; （3） most of them belonged to temporary population and out - of - pocket population ; （ 4 ） lower income population. Top five diseases were upper respiratory tract infection （29. 12% ）, skin trauma （8, 96% ）, conjunctivitis （8. 11% ）, acute bronchitis （4. 20% ）, and acute gastritis and enteritis （4. 19% ）. 76, 79% of patients had light diseases. Conclusion CHS in Shenzhen had paid more attention on vulnerable groups and key groups in communities, and played important role in treating patients with light diseases.