北京市太阳宫、香河园地区老年居民健康状况及卫生服务需求调查

Survey on health status and health care demands in senior inhabitants in Taiyanggong and Xiangheyuan communities of Beijing

目的了解北京市太阳宫、香河园地区老年人群的健康状况及卫生服务需求，为进一步工作提供信息。方法自行设计问卷对相关辖区内做免费体检的60岁以上老年人进行问卷调查。结果老年人对健康自我评价为一般和差的比例分别为76.5%和7.2%。老年人慢性病患病率达74.6%，其中患有两种及以上慢性病老年人达38.0%。老年人对健康体检的需求为72.4%，对健康指导、上门医疗及家庭病床的需求分别为45.5%，35.2%及21.2%，并且不同年龄、不同文化程度的老年人需求不同。结论慢性病已成为这两个地区的主要健康问题，今后应加强做好防控工作。应针对老年人群的不同需求，开展多种形式与层次的服务。

Objective To explore the health status and the health care demands in senior inhabitants from the communities of Taiyanggong and Xiangheyuan in Beijing in order to provide information for better services. Methods The community residents who were over 60 years old were surveyed by our self-designed questionnaires when they received free physical examination. Results Most of the participants had moderate self-rated health status （76.5%）, and few had poor self-rated health status（7.2%）. The prevalence of chronic diseases was 74.6%, while participants with two or more chronic diseases accounted for 38.0%. The elderly had the following health-care demands：health examination （72.4%）, health guidance （45.5%）, home-visit care （35.2%） and home hospitalization service （21.2%）. Those at different ages or with different educational background had different health care demands. Conclusion Chronic disease is the major problem in the two communities. We should strengthen the prevention and control of chronic diseases in the future. The key to meet different demands of the elderly is to organize and provide a demand-oriented, diversified and multi-leveled health service.