上海市某社区居民利用医疗资源情况调查

目的了解城市社区居民健康状况及利用医疗资源情况,探索创新全科团队服务模式在引导居民就医行为中的作用和方法。方法采取整群抽样的方法,在上海市某社区居民中抽取1 089名18岁及以上居民进行现场问卷调查。结果 (1)42.3%的被调查者自我感觉身体较好或很好,9.8%认为自己身体较差或很差;33.3%的被调查者有卫生服务需求时,会首选社区卫生服务机构;选择就诊医院的主要影响因素为医生服务水平、就诊的便利性及平均花费时间的多少。(2)2周内,266人(占24.9%)曾有就医经历,其中220人(占就诊总人数的82.7%)选择社区卫生服务机构就诊。结论社区居民对社区卫生服务机构的认同度明显提高,但仍存在盲目就医、利用医疗资源不合理,社区卫生服务机构在提高医疗质量和改进服务的同时,应加强"六位一体"内涵建设,继续推行创新性全科团队服务模式,实行模块化综合管理,采取与社区居民互动的方式,对其就医不当行为加以引导,适时推进家庭医生责任制,让社区健康照顾从"走近社区"到"走进居民家庭"。

Survey of Utilization of Medical Resources among Community Residents in Shanghai

Objective To understand the city community residents′ health status and use of medical resources,and explore innovative team service model in the general population seeking behavior to guide the role and methods.Methods To cluster random sampling,some community residents in Shanghai extract 1 089 residents over the age of 18 on-site survey.Results 42.3% of those surveyed feel good or very good health,9.8% considered themselves physically poor or very poor,33.3% of those surveyed who have the demand for health services,community health services will be preferred;choose hospital treatment the main factors were the level of medical service,the convenience of treatment and how much time.2 weeks,266 people(24.9%) had undergone medical treatment,including 220(accounting for 82.7% of the total number of visits) to select community health service institutions for treatment.Conclusion Community residents in recognition of community health services has improved significantly,But still exist and then cure the blindness and make use of the medical treatment resources absurdity,community health services in improving health care quality and improve services,should be strengthened,"Six in One" meaning construction,continue to implement innovative models of general service team,the implementation of modular integrated management,to interact with community residents,to guide their medical malpractice,timely introduction of family doctors responsibility,so that community health care from "approaching community" to "into the household".