北京市月坛社区老年居民的社区卫生效劳需求调查北京市月坛社区老年居民的社区卫生效劳需求调查周文利,杜雪平?73??调查研究?【摘要】目的通过月坛社区老年居民对社区卫生效劳的需求调查,分析居民利用社区卫生效劳的影响因素,为构建适合月坛社区需要的社区医疗效劳模式提供依据.方法应用非概率的判断抽样方法,获取老年居民社区卫生效劳实际利用情况和老年居民对社区卫生效劳的需求意愿.采用SPSS13.0统计软件,运用描述性分析法,非条件Lo—gistic逐步回归分析法等对调查资料进行统计分析.结果(1)被调查的942名老年居民中两周患病人数为490人,患病率为52.O%(男性48.5%,女性54.5%);两周就诊人数为262人,两周就诊比例为53.5%,两周就诊率为27.8%.就诊率在不同性别间差异有统计学意义(P<0.05),在不同年龄间差异无统计学意义(P>0.05).(2)有配偶的老年人两周就诊率下降,60岁前职业为工人,患有慢性病和疾病严重程度一般的老年居民的两周就诊率高.(3)老年居民最希望得到的社区卫生效劳依次是:定期健康体检(62.8%),康复指导(42.3%),体育锻炼指导(39.3%),健康教育讲座(29.0%),保健医疗效劳(24.3%).结论月坛社区老年女性的患---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---病率高于男性,故应对女性老年人群在卫生效劳利用方面给予更多的关注;样本人群两周就诊率较高,略高于我国城市老年人两周就诊率的水平;样本人群对定期健康体检的需求率最高.因此,以需求为导向,组织和提供多样化,全方位的社区卫生效劳是月坛社区卫生效劳的关键.【关键词】老年人;社区卫生效劳;卫生效劳需求【中图分类号】R197【文献标识码】A【文章编号】1007—9572(2021)01-0073一O3DemandofSeniorInhabitantsforHealthServiceinYuetanCommunityofBeijingZHOUWen—li,DUXue——anCommunityHealthServiceCenterofFuxingHospitalAffiliatedtoCapitalMedicalUniversity,Beijing100045,China【Abstract】ObjectiveToanalyzetheinfluentialfactorsofinhabitantstoutilizethecommunityhealthservicebyinves-tigatingtheseniorinhabitantsdemandforcommunityhealthserviceinYuetancommunity,inordertoprovideevidenceforcon-—probabilitysampling—tawerestatisticallyanalyzedbyusingSPSS13.0software,descriptiveanalysis,andnon—conditionalLogicalstepwiseregressionanalysis.Results(1)Amongthe942seniorinhabitantsbeingsurveyedduringtwoweeks,490inhabitantswereill,therateofmorbiditywas52.0%(inmale48.5%,infemale54.5%);thenumberofoutpatientswas262,theratioofoutpatientsbetweenthetwoweekswas53.5%.therateofvisitwas27.8%.Thedifferenceofvisitratesbetweenmalesandfemaleswasstatisticallysignificant(P<0.05),butnostatisticalsignificancewasfoundindifferentages(P>0.05).(2)Therateofvisitofinhabit—---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---antswithspousesdecreased,Thehighrateofvisitduringthetwoweekswasfoundinthoseinhabitantswhowereworkersbeforetheywere60yearsold,orwhohadchronicdiseasesandwhoseseveritiesofdiseaseweremoderate.(3)Themostdesirableserv-iceswereinorderofregularmedicalexamination(62.8%),instructionofrecovery(42.3%),instructionofphysicalexercise(39.3%),healtheducationlecture(29.0%),andhealthcaredoctorservice(24.3%).ConclusionThemorbidityrateofwomeninYuetanCommunityishigherthanthatofmen,somoreattentionshouldbegiventotheusageofhealthserviceofoldwomen,thevisitrateofsampledpopulationduringtwoweeksishi.gher,whichisalittlehigherthantherateofurbanseniorciti-zensinChina.Thedemandrateofsampledpopulationforregularmedicalexaminationishighest.Therefore,thekeytoYuetanCommunityhealthserviceistobedemand—oriented,andtoorganizeandprovideadiversifyingandcomprehensivecommunityhealthservice.【Keywords】Aged;Communityhealthservices;Healthservicesneedsanddema...