大连市居民门诊服务需要与需求分析

目的 了解大连市居民门诊服务需求现状及影响因素。方法 采用多阶段分层整群随机抽样的方法，对13 521名年龄≥15岁的居民进行家庭健康询问调查。结果 被调查居民2周患病率为8.20%，影响因素为性别、年龄、婚姻状况、文化程度、就业状况、慢性病；2周患者就诊率64.02%，2周患者未就诊比例为35.98%，其中73.68%采取自我医疗，26.32%的未就诊患者未采取任何治疗措施，影响居民门诊服务有效需求的主要原因是自感病轻与经济困难。结论 高龄与患慢性病是增加居民门诊服务需要量的主要因素，居民门诊服务需求有提升空间。

Need and demand of outpatient service among residents in Dalian city

Objective To examine the status and impact factors of outpatient service among residents of Dalian city,Liaoning province.Methods Multi-stage stratified cluster random sampling was used to select 13 521 inhabitants aged ≥15 years for a home visit questionnaire survey on health and medical service conditions.Results Among the participants of the survey,the two-week disease prevalence rate was 8.20%and the influencing factors of the prevalence rate were gender,age,marriage,education,employment status and chronic disease.The two-week patients' outpatient visit rate was 64.02%and the rate of the residents with illness but without outpatient visit in two weeks was 35.98%.Of the residents with illness but without outpatient visit in the two weeks,73.68%had self-medication and 26.32%did not receive any medication.The major factors affecting the effective need were self-perceived minor condition of the disease and economic consideration.Conclusion The main influencing factors of outpatient service need are older age and suffering from chronic diseases among the residents of Dalian city and there is a potential improvement in outpatient service demand for the residents.