重庆市慢性病患者社区卫生服务需求与利用调查

目的 了解重庆市慢性病患者卫生服务需求与利用情况,探索适应慢性病患者需求的社区卫生服务模式,为社区卫生服务工作的管理与决策提供参考依据.方法 采用多阶段随机整群抽样的方法,对重庆市8126例慢性病患者进行问卷调查.结果 60岁以上的慢性病患者占总调查人数比例为53.45％,最希望得到的卫生服务项目是体格检查（78.92％）,其次是希望提供健康咨询服务（56.13％）;最希望得到的保健知识为常见慢性病的防治知识（89.13％）,其次为生活方式指导（49.86％）;获得这些知识的途径主要是来自电视、广播（73.64％）;82.38％的人愿意接受社区卫生服务,到社区卫生服务机构就医的最高为39.74％,选择区县医院和部队医院,分别占33.84％和25.74％.结论 重庆市慢性病患者是社区卫生服务的重点人群,应以需求为导向,加强社区卫生服务工作,组织和提供多样化、全方位的医疗保健服务.

Survey of demand and utilizations of community health service among patients with chronic diseases in Chongqing

Objective To study the demands and utilization of community health services for chronic disease popu- lations, and explore community health service model to adapt to the needs of the chronically ill, so as to provide references for the management and decision of the community health service. Methods The population was sampled by multi-stage ran- dom cluster sampling. An questionnaire survey and interview investigation was made to study the utilization and demand of community health service. Results Proportion of the number of total survey of over 60 years old with chronic diseases is 53.45%. The most desirable services for community residents was regular medical examinations （78.92%）, the second was to provide health services （56. 13% ）. The most desirable health care knowledge was knowledge of the prevention and treatment of common chronic diseases （89. 13% ）, followed by lifestyle guide （49. 86% ）. The way to acquire these knowl- edge mainly from television, radio （73.64%）. It is about 82. 38% people willing to accept the community health serv- ice. The main visited hospitals were community hospitals, which is 39.74%. The second was selected to the district hospital and military hospital, accounted for 33.84% and 25.74% respectively. Conclusion The people with chronic diseases is the key population of community health service in Chongqing community. We should be guided by the demand-driving, strengthen the work of community health services, organized and provided a diverse, full range of health care, optimized the health resource, so as to improve the quality of life.