城乡基层卫生服务机构老年卫生服务开展情况调查

Current status of health services for elderly in community healthcare facilities

目的：了解基层老年人卫生服务项目的开展情况，为采取应对措施提供依据。方法：对河北省唐山市95家城市社区卫生服务机构和122家乡镇卫生院，采用《全国社区卫生服务示范区评估参考标准》中的评估内容和项目进行评估。结果：217家基层卫生服务机构服务城乡居民人数在1453～27500人之间，每位卫生技术人员服务老年人数小于100人的只占29．1％。基层卫生服务机构在老年慢性病管理（99．1％）、老年人健康档案建立与管理（99．5％）、健康教育（96．3％）等方面工作的开展率较高；而针对老年人开展的生活照料及家庭陪护等服务开展率极低。城市社区卫生服务机构在老年卫生服务项目方面开展率明显高于农村乡镇卫生院。结论：老年人基层卫生服务已广泛展开，但尚存在问题，尤其是特殊人群居家护理问题，需要进一步完善。

Objective： To investigate the current situation of health service for elderly in community healthcare facilities. Methods： Totally 95 Community Health Service （CHS） institutions and 122 townships hospitals of Tangshan were evaluated by ＇Reference Standards of National Community Health Service Demonstration Area Assessment＇. Results： The numbers of residents in 217 institutions area were between 1453-27 500. Only 29.1% health technicians were responsible for less than 100 elderly people. They carried out much higher rate of some health services including chronic diseases management （99.1%）, establishment and management of health files （99.5%）, and health education （96.3%） than providing daily care and home care assistance. The rate of health care service for elderly in urban CHS institution was higher than rural township health centers. Conclusion： Health care services for elderly were already spread in urban and rural area, but there were still problems, especially home care issues of special population needed further improvement.