社区中老年居民健康状况和卫生服务需求调查

目的：了解上海市社区居民健康状况和医疗卫生服务需求情况。方法：采用问卷调查方法对凉城社区1130名中老年居民进行问卷调查和体格检查。结果：21种慢性病患病人数783人，患病率为69．3％，排首位是高血压，达43．4％。近一年中，居民到门诊就诊占75．8％，住院占38．7％。42．4％的调查对象选择市（区）级医院看病。对目前医疗卫生服务满意达87．5％，诊疗费高是不满意的主要原因。结论：社区卫生服务有待进一步完善， 老年人的健康保健是今后社区卫生服务的重点。

A Survey on Health Status and Health Service Demand among Part of Middle and Old Age Residents in Hong Kou District in Shanghai

Objective To understand the health status and health service demand among part of middle and old residents in Shanghai. Methods 1?130 middle and old age residents in Hong Kou District were under investigation as study population. Qustionnaire method and physical examinations were carried out.Results There were 21 kinds of chronic diseases among 783 residents,prevalence rate of chronic disease was 69.3%. Hypertension had the highest prevalence rate (43.4%). 75.8% of patients had had outpatient calls. 38.7% of patients had been hospitalized in a year. 42.4% of residents chosed hospitals of city or district grade. The most people were satisfied with their medical treatments and health service. The main reason of dissatisfaction was the high cost of medicatuon.Conclusion Emphasis of community health service should be paid attention to health care of the old.