衡阳市居民对社区卫生服务的知晓及利用现状研究

Residents′ Status of Acquaintance and Utilization of Community Health Service in Hengyang City

目的了解衡阳市居民对社区卫生服务的知晓和利用现状,探讨影响利用的因素,为进一步制定社区卫生工作的相关政策提供依据。方法采用多阶段抽样的方法,在衡阳市蒸湘区随机抽取600名社区居民进行问卷调查。结果居民对社区卫生服务功能的总知晓率和总利用率分别是81.5%和28.3%;Spearman秩相关分析显示,居民对社区卫生服务功能的认识越全面,其利用程度越高(Spearman系数为-0.330,P=0.000)。多因素分析显示,年龄、职业、步行到社区卫生服务机构的时间、离家最近的不同医疗机构、居民对社区卫生服务的了解和知晓程度等因素对社区卫生服务的利用均存在一定程度的影响。结论提高居民对社区卫生服务的利用程度,需要进行有效的宣传和合理配置卫生资源,改善社区卫生服务的可及性。

Objective To understand the acquaintance and utilization of community health service by residents in Hengyang city,and to investigate the influential factors,so as to provide some a basis for further establishment of relevant polices of community health service.Methods By using multiphase sampling method,600 randomly-enrolled residents in Hengyang City were investigated through questionnaire survey.Results The residents′ rate of acquaintance and utilization of community health service were 81.5% and 28.3% respectively.Spearman rank correlation analysis showed that the more the function of community health service they knew,the higher the rate of utilization of community health service they got（Spearman′s rank correlation coefficient was-0.330,P=0.000）.Multivariate analysis showed that the age,career,time needed on foot to get to community health service site,medical service organization nearest from the family,and the residents′ acquaintance on the community health service influenced to some extent the utilization of community health services.Conclusion In order to improve the residents′ utilization of community health service,it is necessary to propagandize the community health service to community residents,to rationally allocate the health resource and to improve the accessibility of community health service.