中国人口慢性病的总体状况与群体差异

了解慢性病住院患者的健康信息需求和社区卫生资源利用现况并分析影响因素，为临床开展慢性病住院患者个性化、高质量的健康教育以及引导慢性病患者充分利用社区卫生资源提供依据。

以上海市3家综合性医院为调查点，对2020年11月—2021年2月期间404名糖尿病、高血压、冠心病、慢性呼吸系统疾病、肿瘤等慢性病住院患者开展纸质问卷调查。

404名调查对象有94.01%患者对疾病或者健康相关信息有着不同程度的需求，不同年龄、性别和学历患者对健康知识需求之间差异无统计学意义；404名患者中仅39.11%患者参与了社区慢病管理建卡或家庭医生签约，男性患者慢病管理或签约参与率低于女性（P<0.05）。

慢性病患者对健康相关信息需求高，需要多途径、多方式提供健康信息；加大社区卫生资源投入，提升服务质量，引导慢性病患者充分利用社区卫生资源。

The general situation and group differences of chronic diseases in Chinese population

To understand the health information needs of chronic disease inpatients and the current utilization of community health resources， and to analyze the influencing factors， so as to provide basis for personalized and high-quality health education for chronic disease inpatients and to guide them to make full use of community health resources.From November 2020 to February 2021， we conducted a face-to-face multi-center clinical epidemiological survey with paper questionnaire in three general hospitals of Shanghai. The study included 404 inpatients with diabetes， hypertension， coronary heart disease， chronic respiratory diseases， cancer and other chronic diseases.94.01% of the 404 respondents had different needs for disease or health related information， and there was no significant difference between patients of different ages， genders and educational backgrounds in their needs for health knowledge. Among these patients， only 39.11% of them participated in the establishment of a card for chronic disease management in the community or signed for a family doctor. The participation rate of male patients was lower than that of female patients （P<0.05）.Patients with chronic diseases have a high demand for health related information， and we need to provide health information in multiple ways. We should increase investment in community health resources， improve service quality， and guide residents with chronic diseases to make full use of community health resources.