北京市亚运村社区居民医疗卫生服务利用分析

目的了解北京市亚运村社区居民医疗卫生服务利用情况。方法分别于2004和2005年选择自2000年起居住在亚运村社区常住居民600户,选取15周岁以上1 765人,作为队列研究基线人群,使用自行设计的《北京市典型社区居民调查表》,了解居民卫生服务利用情况;分别于2006、2007年采用相同问卷进行随访调查。结果基线调查、2006和2007年随访调查结果显示,过去1个月内,有病未就诊比例分别为36.44%,31.46%和25.70%,差异有统计学意义(P<0.05)。未就诊原因的前3位分别为自感病轻、医疗费用太高、自我医疗。2次随访调查结果表明,该社区居民经常就诊机构均为社区卫生服务中心(站)。2007年随访结果显示,选择医院就诊原因的前3位分别为离家近方便占61.62%,可以报销医疗费占58.33%,医疗技术和设备好占21.13%;基线调查、2006和2007年随访结果显示,医疗费用包括药费、治疗费、检查费等均呈不断下降趋势,差异均有统计学意义(P<0.05)。结论在北京市社区医疗卫生服务全面推广中,社区居民的医疗卫生服务利用和满意度均有一定程度提高,但需继续巩固。

Follow-up study on medical and health services utilization among typical community residents in Beijing

ObjectiveTo know the situation of medical and health services utilization among typical community residents in Beijing.MethodsIn 2004 and 2005,we chose 1765 permanent residents above 15 years old of 600 families inhabiting in typical communities since the year of 2000 as the baseline sample of the cohort study,and collected the residents.health knowledge,medical and health services utilization by Beijing Typical Community Resident Questionnaire designed by the researcher.In 2006 and 2007,we used the same questionnaire to carry on follow-up investigation.Resultsthe proportion of people who should but didn't see a doctor in past month in the baseline,2006,2007 was 36.44%,31.46%,and 25.70%,respectively,the differences between different times were significant(P<0.05).The top three reasons of did not visit a doctor were the