衡阳市居民社区卫生服务需求意愿调查

Community health service requirement among residents in Hengyang city

目的探讨湖南省衡阳市蒸湘区居民社区卫生服务的需求意愿及影响因素,为促进社区卫生服务提供依据。方法采用多级抽样方法,在衡阳市蒸湘区随机抽取540名居民进行问卷调查。结果衡阳市蒸湘区居民对社区卫生服务需求依次为定期健康体检、就近就医、普及卫生及健康知识等;≥50岁居民在医生出诊、家庭病床、慢性病定期随访、家庭护理和临终关怀方面的需求明显高于其他年龄组,差异有统计学意义(P<0.01);文化程度越高的居民在个人与家庭保健指导方面的需求越高(P<0.05);家庭人均月收入<500元的居民,在家庭病床、家庭护理服务等方面需求更高(P<0.05),而家庭人均月收入>500元的居民则更倾向于定期健康检查方面的需求(P<0.05)。结论不同社区居民卫生服务需求不同,年龄、文化程度、职业、家庭人均月收入、医疗费用支付方式等因素均影响居民对社区卫生服务的需求。

Objective To assess the residents＇ demand and its influential factors for community health service in Zhengxiang district of Hengyang city. Methods Using multistage sampling method,540 residents were investigated with a self-administered questionnaire under the help of interviewers. Results The top three requirements in the 540 residents to community health service were regular physical examination, accessibility of seeking medical advice, and health education. The residents aged I〉 50 years had significantly higher demands for home visit of a doctor, medical service at home and period follow-up for chronic disease than other age groups （ P 〈 0. 01 ）. The residents with higher education had a higher demand of health care guidance（ P 〈 0. 05 ）. There were significant differences in demands of medical care at home and regular physical examination between the residents with different monthly family income（P 〈 0. 05 ）. Conclusion The demand for medical service varies among different resident groups. The age, education level, occupation, monthly family income, and payment mode of medical expenses are influential factors of community health service demands in urban residents.