武汉市居民医疗服务利用情况调查与分析

Research and Analysis on the Medical Service Utilization of Urban Residents in Wuhan

在武汉中心城区选取7个区350户家庭,调查医疗服务利用情况,结果显示78.69%调查者最近医疗机构都在2公里以内;心脑血管疾病、呼吸道感染、糖尿病是就诊频率最高的疾病;一级医疗机构占所有门诊量的52.48%,三级医疗机构住院服务占比56.98%;是否为医保定点单位、距离是就医机构选择的重要因素。从调查中发现慢性病、老年病是威胁健康的主要因素;居民医疗服务需求满足度高;城市二级医院需重新定位。

To study the medical service utilization of urban residents in Wuhan, the survey selected 7 towns in Wuhan and then randomly selected 350 families. Results show that 78.69% respondents go to the hospital within two kilometers distant from their homes; Cardiocerebrovascular diseases, respiratory tract infection and diabetes are the most frequently consulted disease. The first level medical institution accounts for 52.48% of selected in outpatient service, and the third level hospital 56.98%. Designated hospital and distance are the primary factor influencing medical institution choice. Therefore, chronic disease and senile diseases are the major threats to health; healthcare demand is highly satisfied and urban secondary hospitals should reposition themselves.