上海城郊新场社区养老现况及养老需求调查

Current situation and demand for health service of elderly in Xinchang Community

目的调查上海城郊新场社区老年人养老现况及卫生服务需求。方法采用自行设计问卷调查表对城镇社区A组300例，B组选取2个村中300例60岁及以上家庭养老的老年人进行养老现况及养老需求问卷调查。结果城镇社区和农村社区两组老人的性别、年龄构成差别不大，和市区相似；城镇组老人月收入明显高于农村组；两组老人最喜欢的养老模式是居家养老，最希望得到的居家养老服务为居家医疗服务，对社区居家养老的概念知晓率均较低。结论本社区老年人养老在经济上不是主要问题，但是在农村社区仍有部分低收入、低保障人群；社区老人以传统的家庭养老为主，社区居家养老有了一定的进展，但社区的养老服务机构建设不足，不能满足日渐增多的独居老人、高龄体弱老人的养老需求；老人对于养老医疗需求是主要的，全科医师家庭负责制的建立和落实会给本社区老人带来一定好处。

Objective To investigate the Shanghai suburban （Xinchang） community elderly status and pension needs. Methods 300 residents from urban community and 300 residents from the country were choosed to collect the information by self-designed questionnaires in the participantsweare aged 60 or above. Results There were no differences in gender and age of the oelderly people between urban community and country, the olderly people from urban community had higher monthly income than those from country. All the participants preferred to be supported and got healthy services at home, and they had little knowledge about the community service for home care of elderly. Conclusion Pension was not the main problem, but there were still low income and security groups in rural community. Furthermore, traditional family support was the main mode and there was a great improvement of the community service for home care of the elderly. While the lack of retirement organization made it difficult to meet the demand of increasing elderly people who living alone, aging andweak. Therefore, the main problem was the requirement for healthy service ofthe elderly people, and it was beneficial to establish the system of family doctor to the elderly.