北京市海淀区社区居民卫生服务利用情况调查分析

Survey on Utilization of Health-care Service in Residents of Haidian District of Beijing City

目的了解北京市海淀区社区居民的健康状况以及卫生服务利用情况,分析卫生服务利用的影响因素。方法采用典型抽样方法,对海淀区北下关社区15岁以上的981名居民进行问卷调查。调查内容包括一般情况、月患病情况、就医行为、平时的就医意向等。结果调查人群的月患病率为38.4%,实际就诊率为65.0%。就诊情况与性别、年龄、月收入、是否患有慢性疾病等因素有关。慢性病的患病率为42.7%,治疗率为64.9%。居民就医时关心的问题排在前3位的分别是医疗水平(43.2%)、医保定点(25.1%)、就近方便(13.3%)。结论随着国家医改方针政策的深入实施,社区卫生服务逐渐受到认可;医疗技术和方便性是居民选择就医的关键;社区卫生服务应从进一步提高诊疗技术和急诊急救水平、加大医疗设备投入、创新开展家庭医生式服务、加快信息建设、健全双向转诊体系等方面不断完善,更好地满足患者需求。

Objectives To analyze the influencing factors of the utilization of health-care services by studying health status and utilizations of health-care service in community residents of Haidian District of Beijing. Methods This paper used the typical sampling method. A questionnaire survey was conducted among community residents over 15 years old to investigate their health status, heath care-seeking attitudes and their pattern of health services utilization. Results Of 981 individuals during a 1-month period, 377（38. 4%） people reported symptoms, 245 （60.0%） of whom visited medical practitioners. The visiting rate was affected more substantially by the gender, age, monthly income and chronic disease morbidity. The prevalence rate of chronic disease was 42. 7% and the treatment rate was 64.9%. People concerned about medical level （43.2%）, social insurance scheme （25.1%） and medical care convenience （13.3%） the most while seeking service. Conclusions With the spreading of the national health care policies, community health service has been gradually recognized. The consideration of medical technolo- gy and treatment convenience is the key to residents＂ choice for medical care. We need to improve our treatment and first-aid technology, increase investment in medical equipment, carry out family health care and two-way referral activities, accelerate the construction of information systems, thus we can meet the demand of patients.