某大城市社区老年人就诊机构流向分析

目的 分析某大城市社区1999名60岁及以上老年人的就诊机构流向及其影响因素，为制定社区老年保健服务计划提供参考。方法 利用入户调查资料进行分层分析。结果 某大城市社区老年人就诊机构主要流向市级及以上机构(52．5％)，老年人就诊机构流向主要是合同医院(71．6％)和距离近(22．0％)。流向的影响因素主要有性别、文化程度、工作单位、工作类型、月均收入和医疗保障形式等。结论 加快城市区域卫生医疗改革，明确各级门诊机构的职责，发挥各自的优势，加强老年人健康教育，合理引导消费和利用有限的卫生资源。

The Utilization of Out-patient Services by the Elders in a City

Objective This research was aimed to understand the utilization of out patient services by the elders and its affecting factors. Methods Data were from the health services and the research was carried out through interviews in households. 1999 people aged 60 or over living in a city district were visited. Chi square tests were performed. Results 52 5% of the elders to go to the central urban hospital or hospitals of higher level. The reasons were those out patient services belong to their contracted hospitals(71.6%), and they were shorter distance (22 0%). The factors affecting their utilization were gender, education, occupation, work unit, income and medical insurance, etc. Conclusions The reform of the city district health care system should be quickened to establish explicit function for different levels of hospitals to exert their superiority.Besides, health education for the elders should be implemented so as to guide them to consult suitable health service,to lead resonable health care consumption,and to effectively utilize the limited health care resources.