浙江三地城市居民社区卫生服务需求与利用评价

目的 评价社区卫生服务（CHS）需求与利用，为提高社区卫生服务质量提供依据。方法 采用典型抽样调查方法对浙江三地的896名社区居民进行入户问卷调查。结果 三地居民65岁以上人口占10．4％；两周患病人群就诊流向为CHS机构的比例为18.3％。CHS机构知晓率为76．2％；CHS机构利用率为34．6％，获得的服务主要是医疗和购药的占413％；对医务人员水平不放心是不选择利用社区卫生服务机构的首位原因，了解个人健康档案的社区居民比例为10，5％。结论 （1）加强自我发展能力建设是发展社区卫生服务的关键；（2）开展预防保健服务是社区卫生服务工作的重点。

Evolution on Community Health Service Demand and Utilization in Three Cities of Zhejiang Province

OBJECTIVE To analyze the health service demand and utilization among three ciies in Zhejiang Province and provide the scientific suggestions for improving the quality of community health service.METHODS 896 residents in three regions of Zhejing province were randomly selected with typical sampling by means of questionnaire.RESULTS The proportion of population upper 65 ages were 10.4%,and the 18.3%two!week prevalence presons selected community health service organizations for seeing doctors.The rate of awareness of community health service among residents in the investigated regions is 76.2%.The utilization rate by local residents is only 34.6%in those investigated regional community health service,and 41.3%persons utilized the community health service with medical care service and purchasing drugs.Lack of belief to doctors was the first reason in those people not utilizing community health service organizations,as well as the percentage of knowing the health record for oneself was only 10.5%.CONCLUSION(1)To en-hance the ability of community health care organizations was the key point.(2)To extending prevention and health care service and function was the focal point of community health service work.