上海中心城区新型社区居民健康管理服务需求研究

Study on the Demand for Health Management Services of New Community Residents in the Central District of Shanghai

目的:分析新型成套住宅小区居民的健康服务需求特点,为社区全科诊所服务内容和服务方式的设计提供依据。方法:于2019年11月2日—2019年11月15日,基于便利抽样法,对辖区内新型住宅小区的204位居民实施问卷调查。数据分析在SPSS 24.0中进行,以P<0.05表示有统计学意义。结果:204位社区居民中,男性75人(36.8%),女性129人(63.2%);平均年龄为(57.3±15.9)岁。社区居民健康管理需求前5位分别是用药指导(158人,77.5%)、膳食指导(112人,54.9%)、内外妇儿常见多发病诊疗(97人,47.5%)、体检(检查)报告解读(90人,44.1%)、运动指导(83人,40.7%)。上海户籍和非上海户籍的居民对膳食指导的需求差异有统计学意义(χ^(2)=5.764,P<0.05);居民是否签约家庭医生,其对用药指导、运动指导、体检(检查)报告解读服务需求的差异有统计学意义(χ^(2)=5.319,χ^(2)=11.438,χ^(2)=4.210,P<0.05)。结论:新型社区居民健康管理需兼顾医疗和预防,新型社区居民就医咨询方式需求偏好提示了互联网医疗助力健康管理的必要性。

OBJECTIVE To analyze the characteristic of health service demand in a new set of residential district,to provide ba⁃sis for the design of service content and service mode of community general practice clinic.METHODS From November 2,2019 to November 15,2019,a questionnaire survey was conducted among 204 residents in the new residential district in the area based on the convenience sampling method.The content was mainly about the population sociological information of residents and the demand for health management services.The data were analyzed in SPSS 24.0,and the statistical significance was indicated by P<0.05.RE⁃SULTS Among 204 community residents,there were 75 males(36.8%)and 129 females(63.2%);the average age was 57.3±15.9 years.The top five health management demands of community residents were medication guidance(158,77.5%),diet guidance(112,54.9%),diagnosis and treatment of common multiple diseases of internal and external women and children(97,47.5%),phys⁃ical examination(inspection)report interpretation service(90,44.1%),exercise guidance(83,40.7%).There were significant dif⁃ferences in the demand for dietary guidance between residents registered in Shanghai and those not registered in Shanghai(P<0.05).There were significant differences in the demand for medication guidance,exercise guidance and physical examination(in⁃spection)report interpretation service demand among residents with or without a contract family doctor(P<0.05).CONCLUSION The health management of new community residents should strike a balance between medical treatment and prevention,and the de⁃mand preference of medical consultation mode of new community residents suggests the necessity of internet medical treatment to help health management.