摘要
Abstract
Objective To analyze the influential factors of inhabitants to utilize the community health service by investigating the senior inhahitants' demand for community health service in Yuetan community, in order to provide evidence for constructing medical service mode which is suitable for Yuetan Community's demand. Methods The non - probability sampling method was used to ohtain the real utility and the demand of the senior inhabitants for community health service. The surveyed dato were statistically analyzed hy using SPSS 13. 0 software , descriptive analysis, and non - conditional Logical stepwise regression analysis. Results ( 1 ) Among the 942 senior inhabitants being surveyed during two weeks, 490 inhabitants were ill, the rate of morhidity was 52. 0％ ( in male 48. 5％ , in female 54. 5％ ); the number of outpatients was 262, the ratio of outpatients between the two weeks was 53. 5％ , the rate of visit was 27. 8％ . The difference of visit rates between males and females was statistically significant ( P ＜0. 05 ), but no statistical significance was found in different ages ( P ＞ 0. 05 ). (2 ) The rate of visit of inhabitants with spouses decreased. The high rate of visit during the two weeks was found in those inhabitants who were workers before they were 60 years old, or who had chronic diseases and whose severities of disease were moderate. ( 3 ) The most desirable services were in order of regular medical examination ( 62. 8％ ) . instruction of recovery ( 42. 3％ ), instruction of physical exercise ( 39. 3％ ), health education lecture ( 29. 0％ ), and health care doctor service ( 24. 3％ ) . Conclusion The morbidity rate of women in Yuetan Community is higher than that of men, so more attention should be given to the usage of health service of old women, the visit rate of sampled population during two weeks is higher, which is a little higher than the rate of urban senior citizens in China. The demand rate of sampled population for regular medical examination is highest. Therefore , the key to Yuetan Community health service is to be demand - oriented, and to organize and provide a diversifying and comprehensive community health service.关键词
老年人/社区卫生服务/卫生服务需求分类
医药卫生
