社区居民对健康管理服务认知与需求的调查

  目的  了解无锡市社区居民对自身健康满意度及对“共享医疗”的态度，并分析其可能的影响因素，为无锡市社区卫生事业的发展以及居民健康水平的提高提供理论依据。  方法  2017年5月在江苏省无锡市采用分层随机抽样方法抽取1 360名 ≥ 15岁居民进行问卷调查（有效调查1 062人），并通过χ²检验、多项logistic回归分析等统计学方法进行数据分析。  结果  在问卷所列的血压计、体脂称、体重秤、体温计、血糖仪5种常见的医疗器械中，医务人员中拥有≥4件者占18.30 %（22/120），非医疗工作人员中拥有≥4件者占10.83 %（102/942）；医务人员中有规律体检比例为88.33 %（106/120），高于非医务人员的37.47 %（353/942）；多因素logistic回归分析结果发现，社区居民的文化程度、医疗器械拥有情况（拥有3件和拥有4件）、体检频率、对共享医疗的支持度与非医务人员社区居民自我健康满意度密切相关。  结论  无锡地区居民健康知识知晓情况和健康行为形成情况总体较好，但仍存在诸多不足，且与其文化水平，体检频率，共享医疗支持态等密切相关。

Status and influencing factors of health satisfaction and attitude towards shared medication among community residents in Wuxi city

  Objective  To examine health satisfaction and attitude towards shared medication and their influencing factors among community residents in Wuxi city of Jiangsu province for providing evidences to the improvement of community health service and population health in the city.  Methods  We conducted a questionnaire survey in May 2017 among 1 360 permanent residents aged 15 years and above selected using stratified random sampling in communities in Wuxi city. Chi-square test and multivariate logistic regression analysis were adopted in statistical analyses.  Results  Totally 1 062 of the residents completed the survey. The proportion of the participants reporting the usage of four or more common medical devices (including phygmomanometers, body fat calculator, weighing scale, thermometer, and glucometer) at home was higher among the medical personnel surveyed than among those with other occupations (18.30% [22/120] vs. 10.83% [102/942]) and the ratio of medical personnel surveyed having regular physical examination was also higher than that of participants with other occupations (88.33% vs. 37.47%). Multiple logistic regression analysis demonstrated that education, items of common medical devices (three or more) used at home, frequency of physical examination, and positive attitude towards shared medication were correlated with satisfaction to self-health among the participants with occupations other than medical personnel.  Conclusion  The health knowledge and behavior are at a good level generally and correlated with education, frequency of physical examination and positive attitude towards shared medication among community residents.