吉林省老年人社区卫生服务利用及影响因素分析

A Study on Community Health Services Utilization and Influence Factors among Elderly Residents in Jilin Province

本文采用多阶段分层随机整群抽样的方法,调查2012年吉林省9个市(州)的60岁及以上老年人健康状况及社区卫生服务利用情况,分析其影响因素,为改善社区卫生服务质量提供参考依据。所有结果均采用复杂加权方法进行分析,组间比较采用基于抽样设计校正的Rao-Scottχ2检验。调查结果显示,80.2%的老年人患有慢性病,患病率位于前三位的依次是高血压、血脂异常、冠心病。慢性病患者未去社区卫生服务机构就诊的影响因素有城乡、性别、经济水平、文化程度等。建议扩大医疗保险范围,降低医药价格,提高社区医务人员技术和服务水平。开展宣传教育活动,提高社区卫生服务的知晓度,引导老年人充分利用社区卫生服务,提高老年人生活质量。

For investigating the community health services utilization and its influence factors among elderly residents in Jilin Province, Multi-stage stratified random cluster sampling was performed to select participants in 9 districts of Jilin Province. Adjusted Rao-Scott X2 based on the study designed was used to compare various groups. The results showed that there were two aged participants did not receive any health care services ; 80.2% suffered with at least one chronic disease; hypertension, dyslipidemia and heart dis- ease ranked the top three. The reasons for the elders with chronic diseases did not receive health services from community were as follows ： coming from countryside, female, primary education and below, monthly income〈500. Thus, we suggested improving the technical level of medical staff and the quality of their services, and improving the knowledge of community health services by education programs, so as to guide the elders to make fully utilization of community health services to improve their quality of lives.