北京市老年人就医难相关因素分析

Analysis on influence factors of difficult to see a doctor for the elderly

目的:了解影响老年人及时就医,导致老年人就医困难的主要因素。方法:采取分层抽样的方法,抽取北京市城区(西城区)1个点和郊区(大兴区、怀柔区)2个点。对调查点60岁及以上的老年人按20%的比例抽样,进行入户问卷调查。结果:11.0%的老年人认为就医不方便,且城区老年人的比例高于郊区老年人,两者之间的差异具有统计学意义(P<0.001)。随着年龄的增长,认为就医不方便的老年人比例也随之增高。就医不方便的原因中排在第一位的是"就医手续繁琐",其次是"行动不便"和"无人陪同"。结论:为了解决老年人就医难的问题,应该完善社区卫生服务功能,优化服务流程,提供有效服务。

Objectives： To learn influence factors of difficult to see a doctor for the elderly.Methods： Xicheng district was selected as urban area,Daxing and Huairou were selected as sub-urban area by stratified sampling.20% to total 60 years or above elderly people were selected to have a questionnaire.Results： there was 11% of the total investigated thought it was difficult to see a doctor.And the rate of urban elderly people was higher than that of sub-urban area（p0.001）.The older,the rate of difficult to see a doctor was higher.The first three factors of difficult to see a doctor were the excessive red tape,mobility problems and nobody accompanied respectively.Conclusion： It＇s very important to enhance the community health service system and optimize the service process for improving the elderly medical care assurance.