北京市西城区社区居民健康状况和卫生服务需求调查

了解北京市西城区居民主要健康问题和卫生服务需求，为制定防病策略提供依据。采取多阶段分层整群随机抽样的方法，自行设计调查问卷，对辖区33936名15岁以上常住人口慢性病、危险行为及就医意向进行调查。社区居民各种慢性病患病率依次为高血压21．9％（7428例），糖尿病8．0％（2722例），冠心病7．4％（2515例），慢性骨关节病5．8％（1953例），高脂血症5．6％（1892例），慢性阻塞性肺疾病3．2％（1074例），脑卒中2．5％（848例）。缺乏体育锻炼16730名（49．3％）是主要健康危险行为。居民就医首诊选择大医院者为21227名（62．6％），但选择社区卫生服务机构仅8030名（23．7％）。应进一步实施慢性病社区综合干预，完善相关医保政策，引导居民首诊在社区。

Health status and health service demand of residents in Beijing Xicheng District

Abstract] A survey with self-designed questionnaire was conducted among （33 936 ）permanent residents aged over 15 years in Beijing Xicheng District, who were randomly selected using stratified multi- stage cluster sampling method. The items of survey included the prevalence of chronic diseases, behavioralrisk factors and intention of visiting doctor. The results revealed that the prevalence of hypertension, diabetes, coronary heart disease, chronic arthropathy, dyslipidemia, chronic obstructive pulmonary disease （COPD） and stroke was 21.9%, 8.0%, 7.4%, 5.8%, 5.6%, 3.2% and 2. 5%, respectively. Lacking physical exercise （49.3%） was the most frequent behavior risk factors of chronic diseases. The results also showed that 62. 6% residents chose large hospitals as first preference for seeking health care, only 23.7% residents chose community health services institutions. The survey indicates that integrated intervention and management of chronic disease should be further enhanced in communities ; and the health insurance policy should be adapted to attract more residents to utilize community health service as primary care setting.