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上海市南汇区老年人住院服务利用及影响因素分析
引用本文:刘成军,陶红,姚中华,叶盛,张宜民,冯学山.上海市南汇区老年人住院服务利用及影响因素分析[J].中国初级卫生保健,2010,24(10):17-18.
作者姓名:刘成军  陶红  姚中华  叶盛  张宜民  冯学山
作者单位:1. 复旦大学公共卫生学院卫生统计与社会医学教研室上海200032;公共卫生安全教育部重点实验室,上海200032
2. 南汇区社区卫生服务管理中心,上海,201300
基金项目:上海市南汇区科委基金资助 
摘    要:目的了解上海市南汇区60岁及以上老年人住院医疗服务利用状况及其影响因素。方法采用三阶段分层随机抽样方法及非条件Logistic回归分析方法。结果所调查南汇区老年人年住院率为16.8%;患者未住院率为30.0%;44.2%的住院者在社区卫生服务中心治疗;性别、文化程度、就诊距离和自身健康状况是影响老年人住院率的主要因素。结论需进一步完善社区卫生服务设施,提高服务可及性和质量,创新服务形式,为老年人提供方便快捷的住院服务。

关 键 词:老年人  住院服务利用  影响因素

Study on Hospitalized Services Utilization and Its Influencing Factors in Elderly in Nanhui District of Shanghai
Institution:LIU Cheng-jun, TAO Hong, YAO Zhong-hua, et al.( Department of Biostatistics and Social Medicine, School of Public Health, Fudan University, Shanghai, 200032, China )
Abstract:OBJECTIVE To investigate the hospitalization rate and its influencing factors in elderly in Nanhui District of Shanghai. METHODS By using three-stage stratified random sampling and logistic regression analysis. RESULTS The hospitalization rate of the elderly was 16.8%, and the non-hospitalization rate of was 30.0%. 44.2% of them were hospitalized in community health services center. Hospitalized service utilization was influenced by sex, literacy, accessibility to health care and health status of the elderly. CONCLUSION Strengthening the building of community health services center to improve accessibility and quality; Innovating the form of services to facilitate the elderly access to hospital services.
Keywords:elderly  hospitalized service utilization  influencing factors
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