城区老年健康服务需求医学社会学分析

Medical Sociology Analysis of Urban Elderly Health Service Demand

目的研究城市社区老年人的就医模式。方法采用问卷调查的方法对武汉市城区老年人的健康服务需求和行为进行调查,并用统计分析方法分析调查数据。结果自感病轻时超过80%的老年人选择就医,就医机构以社区、街道卫生服务中心为主,自感病重时约99%的老年人选择就医且绝大多数选择大型医院;影响老年人选择医疗机构的因素主要是"距离近,交通方便"(73.85%)、"医疗水平高"(65.23%)、"信誉好"(50.67%)、"医疗服务人员态度好"(46.09%)、"服务价格合理"(44.74%),等等;仍有接近20%的老年人在突发重病时无法获得及时的医疗救助;老年人患病未就医的主要影响因素是自感病情不严重(48.79%),其次是经济负担(25.70%)。结论建议加强政策性支持和指导,促进基础医疗机构发展,增强老年人健康意识。

Objective To research the treatment seeking mode of the urban community elderly.Method Adopt questionnaire survey to investigate the health service needs and behaviors of the urban community elderly in Wuhan,and analysis the data from questionnaire survey by statistical analysis methods.Results More than 80% of the elderly people go for medical treatment when self-induction disease condition is light and most of them give priority to community health service center,and about 99% of the elderly people choose go for medical treatment when self-induction disease condition is serious and most of them give priority to large-scale hospital;The influencing factors of the old to choose medical institutions are mainly as follows:‘the near distance,traffic is very convenient'(73.85%),‘Medical level is high'(65.23%),‘good credit'(50.67%),‘good service attitude'(46.09%),‘reasonable price'(44.74%),etc;There are still close to 20% of the old in sudden illness cannot get timely medical treatment;The main factors that the elderly did not go to a doctor when they're sick are as follows:selfinduction disease condition is light(48.79%),economic burden(25.70%).Conclusion It is recommended to increase improve the medical security policy support,to promote the development of basic medical institutions,to strengthen health consciousness in the elderly.