北京市展览路社区中老年人健康状况及卫生服务需求调查

Survey on health status and needs among middle-aged and aged population in community of Zhanlanlu District

目的 了解中老年人健康状况及卫生服务需求 ,明确慢性病社区综合干预的重点。方法 对展览路社区 35岁以上居民进行问卷、体检及生化检查。结果 各种疾病的患病率 :高血压 4 0 7% ;糖尿病 32 6 % ;脂质代谢紊乱 :5 9 3% ;肥胖 32 1 %。以血压、血脂、血糖和体质指数 (BMI)作为慢性病危险因素指标 ,被调查人群中82 3%的男性和 80 3%的女性至少一项指标异常。该人群两周患病率为 1 3 6 % (就诊率为 6 6 4 % )。两周服药率 :冠心病 78 2 % ,高血压 75 3% ,脑卒中 5 3 8% ,糖尿病 2 9 6 % ,脂质代谢紊乱 1 5 3%和肿瘤 5 9%。一年住院率6 5 %。心脑血管疾病、糖尿病和肿瘤占住院总数的 6 3 9%。平均住院天数 2 2 3天 ,平均医疗费为 1 35 4 3元。结论 老年人群为社会中的弱势群体 ,各种慢性病的患病率高 ,是社区医院的主要服务对象。

Objective To determine health status and needs among middle-aged and aged population in community of Zhanglanlu district and to determine health service requirement and health service facility utilization in community.Methods Cross-sectional study.Study population:local residences,age 35 years or over.The items include:questionnaire,physical examination and biochemical indicators.Results Prevalence of diseases:hypertension 40 7%,diabetes 32 6%,dyslipidaemia 59 3% and obese 32 1%.Health service requirement:the prevalence of two weeks sickness:out of 943 subjects,129 (13 6%) subjects fall sick two weeks before the survey.Among them,66 4% had medical treatment.The prevalence of two weeks tablets:cardiovascular disease 78 2%,hypertension 75 3%,strike 53 8%,diabetes 29 6%,and dyslipidaemia 15 3%.The prevalence of hospitalization duration of one year was 6 5% and the majority diseases,which cause hospitalization,were:cardiovascular diseases,diabetes,struck and tumors (63 9%).The average time of stay in hospital were 22 5 days,the average expenditure was 13543 Yuan (R M B).Conclusion Middle-age and aged residences were the majority target population of community medical service.The utilization and selection of medical service unit was influenced by:expenditure reimbursement,facilities and technique.