南方军队人员卫生服务需要及利用抽样调查分析

目的:研究我国南方军队人员卫生服务需要和利用的基本情况和特点. 方法:采用多阶段分层整群随机抽样法在我国南方某地区调查了2100名军队人员. 采用SPSS 11.0软件对调查数据进行统计分析. 结果:干部2 wk患病率及半年慢性病患病率显著高于战士(χ22 wk=17.79,P<0.01;χ2慢性=63.64,P<0.01). 军队人员2 wk患病以呼吸系统疾病为主;慢性病以消化系统疾病为主. 干部和战士2 wk患病未就诊率差异具有显著统计学意义(χ2=11.38,P<0.01);住院服务利用干部显著高于战士,差异具有统计学意义(χ2=10.50,P<0.01). 结论:军队人员的卫生服务需要及门诊、住院服务利用高于全国居民;在加强对军队人员的健康教育和做好防治常见病工作的同时,应重视对军事训练伤的防治.     

Co-location of behavioral health and primary care services: Community Care of North Carolina and the Center of Excellence for Integrated Care

The North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services works with partners to reduce the impact of behavioral health conditions in communities throughout the state. We review state-funded behavioral health initiatives that provide support to military personnel and their families, with special attention to public services and co-location efforts.     

Oral health in North Carolina: innovations, opportunities, and challenges

Dental disease can have negative and lasting effects on overall health and quality of life. The Institute of Medicine of the National Academy of Sciences reported last year that close to 5 million children in the United States did not receive needed care in 2008 because of costs. Increasing use of dental care has been selected by the U.S. Department of Health and Human Services as one of a small number of national leading health indicators, designating it as a national priority. Innovative initiatives have been undertaken in North Carolina to promote oral health, and there have been improvements in the state. For example, both the use of dental services among children and their oral health status are improving. Yet persistent and difficult challenges remain, such as ensuring an adequate workforce for the future, improving oral health literacy, maintaining existing programs, and resolving disparities in oral health and lifetime access to preventive and treatment services for all North Carolinians. This issue brief reviews some oral health initiatives and their outcomes--with a focus on youth. Commentaries in the policy forum also focus on access to oral health care; assessing, educating, and building the dental workforce; new practice models and trends; insurance innovation; and patients with special needs.     

采用TOPSIS法综合评价军队人员卫生服务需要与利用量

【目的】探讨TOPSIS方法在军队人员卫生服务需要与利用量评价中的应用效果。【方法】采用多阶段分层整群随机抽样法调查了军队人员共17295人,应用TOPSIS法对陆、海、空军队人员卫生服务需要与利用量指标进行综合评价。【结果】军队人员卫生服务需要与利用量海军最高,陆军居中,空军最低。【结论】TOP-SIS法应用于评价军队人员卫生服务需要与利用量方法简便、结果真实可靠,适宜推广应用。