深圳市社区居民就诊流向及对社区卫生服务态度的调查与分析

目的调查深圳市社区居民医疗保健就诊流向及对社区卫生服务的了解程度和态度,分析其与居民年龄、职业、文化程度、健康状况的关系。方法随机抽取8个有代表性的社区,并采用整群随机法抽取2544名居民,调查他们日常医疗保健就诊流向及对社区卫生服务的了解程度和态度。结果2544名居民中选择社卫中心作为日常医疗保健就诊去向的占59.55%,认为有必要在社区内建设社卫中心者占88.71%,不同年龄、职业、文化程度、健康状况的居民就诊流向、对社区卫生服务的了解程度及其实际就诊情况间差异均有显著性意义(P<0.05),居民对社卫中心建设的态度与其年龄、文化程度、职业无关,而与其健康状况有关(P<0.05)。结论深圳市社区卫生服务中心已成为深圳市大多数居民日常医疗保健就诊的主要卫生服务机构,居民的就诊流向和对社区卫生服务的了解程度及在社卫中心的就诊率与其文化程度、职业、年龄和健康状况有关。

Investigation and Analysis of Flow Direction in Seeking Medical Service of the Community Inhabitants in Shenzhen City and Their Attitude to Community Health Services

Objective To investigate the flow direction in seeking medical health of the community inhabitants of Shenzhen city and their extent in understanding of and attitude to the community health service (CHS) in order to analyze its relation to age, occupation, education background and states of health of the inhabitants.Methods Totally 2544 inhabitants were taken at random from eight representative communities in Shenzhen City to investigate their flow direction in seeking medical health service and the extent of their understanding of and attitude to the CHS; statistical method was applied for analysis.Results Among the 2544 inhabitants, 59.55% chose CHS centers as their usually daily institution for medical care, and of which 88.71% held that it was necessary to establish CHS center in communities. There were differences in flow direction, understanding of the CHS, and ratio of seeking medical health service in the CHS centers (P<0.05); while the attitude of inhabitants to the establishment of CHS was not related to the age, education level and occupation of the inhabitants, but it was related to the health status of the inhabitants (P<0.05)Conclusion CHS centers have become the main institution of majority of inhabitants in seeking medical service; the flow direction of inhabitants in seeking medical service and their understanding of CHS as well as the condition of their visiting are related to the education background, occupation, age and health status. It is practically proved that CHS is the model for the medical service reformation in communities.