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北京市朝阳区老年人门诊服务利用调查分析
引用本文:王焕强,张拓红,杨辉.北京市朝阳区老年人门诊服务利用调查分析[J].中国医院,2004,8(2):41-44.
作者姓名:王焕强  张拓红  杨辉
作者单位:1. 北京大学公共卫生学院研究生,100083
2. 北京大学公共卫生学院,100083
摘    要:目的:对北京市朝阳区2101名60岁及以上老年人的门诊服务利用状况及其影响因素等进行了研究,为制订社区老年保健服务计划提供参考.方法:利用入户调查资料,用描述性方法和二项式Logistic回归进行分析.结果北京市朝阳区老年人两周就诊率493 6‰,两周就诊疾病主要是慢性病(83.8%),前三位两周就诊疾病分别为高血压病、脑血管病和糖尿病.二项式Logistic 回归分析发现老年人两周就诊率的影响因素是两周患病情况、以往工作类型、健康自我评价、医疗保障形式和年龄;两周患者未就诊率53.79%.因此,门诊机构要针对老年人就诊疾病的特点提供相应的医疗服务.

关 键 词:门诊卫生服务  两周就诊率  两周就诊疾病
修稿时间:2003年8月5日

Utilization of the elders for the outpatient services in Chao yang Beijing
Wang Huanqiang Zhang Tuohong Yang Hui Faculty of Public Health,Peking University,No.,Xue Yuan Lu,Haidian District,Beijing PRC..Utilization of the elders for the outpatient services in Chao yang Beijing[J].Chinese Hospitals,2004,8(2):41-44.
Authors:Wang Huanqiang Zhang Tuohong Yang Hui Faculty of Public Health  Peking University  No  Xue Yuan Lu  Haidian District  Beijing PRC
Institution:Wang Huanqiang Zhang Tuohong Yang Hui Faculty of Public Health,Peking University,No.38,Xue Yuan Lu,Haidian District,Beijing 100083 PRC.
Abstract:OBJECTIVE This research is aimed to understand the utilization and the affecting factors to use outpatient services of agedpeople and provide evidence for the establishment of the suitable community health care system.METHODS : Data are from the health serviceresearch which was carried out through interview for household, and the studied population is consisted of 2101 people aged 60 or over livingin ChaoYang of Beijing . Chi-squire and Logistic regression tests were performed. RESULTS: The outpatient utilization rate per 1000 elderlypeople was 493.6, The main illnesses were chronic diseases, with hypertension ranked first , cerebrovascular diseases ranked second and diabetesranked third .We found that the utilization of the outpatient services was affected by multiple factors, such as health status, former occupation,self-assessed health status, ensurance and age. 53.79 percent of who didn't go for professional advice were mainly due to self-treatment .CONCLUSTIONS : The medical care system should establish suitable health care scheme for the aged according to their characteristics to pursuefor medical services.
Keywords:outpatient  health services  utilization  willingness
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