中国全科医学2016，Vol.19Issue(34)：4173-4177,5.DOI:10.3969/j.issn.1007-9572.2016.34.005
乌鲁木齐市社区卫生服务机构服务利用与供给现状研究
Current Situation of Service Utilization and Supply of Community Health Service Institutions in Urumqi City
摘要
Abstract
Objective To investigate the current situation research of service utilization and supply of community health service institutions in Urumqi City. Methods By multistage sampling method,Xinshi District,Tianshan District, Shayibake District and Midong District were selected from the seven districts of Urumqi;and two community health service institutions were randomly selected from Xinshi District;and one community health service institution was selected from Tianshan District,Shayibake District and Midong District respectively. With the method of accidental sampling method in the neighborhood of community health service institutions,300 residents were respectively enrolled from two community health service institutions in Xinshi District;200 residents were separately selected from the other 3 institutions. A cluster sampling method was adopted to enroll all the health workers in the five community health service institutions. From June to September of 2015,a self - designed questionnaire was used to carry out the survey. The survey mainly included the basic information of community residents,the utilization of basic medical services and basic public health services;the basic situation of community health technicians,supply of basic medical services and basic public health services. Results The basic medical services used by community residents are mainly concentrated on the diagnosis and treatment of common diseases,frequently - occurring disease,and the utilization rate of pharmaceutical services was 78. 85% ,the utilization rate of treatment was 66. 45% ,and the utilization rate of disease diagnosis was 51. 05% ;the utilization rate of family health care services,referral services,emergency services and rehabilitation service less than 5% ;the average utilization rate of basic medical services by community residents was 23. 70%. In the provision of basic medical services of health workers,the supply rate of disease diagnosis was the highest of 87. 13% ;the supply rates of referral services,regular medical examinations and inpatient services were 80. 20% ,68. 86% and 60. 34% respectively;the supply rates of home visits,home care and home sick - bed were 32. 34% ,30. 30% and 7. 78% respectively;the average supply rate of basic medical services by health technicians was 46. 28% . The use of basic public health services by community residents is mainly concentrated on planned immunization,health management for the elderly,the establishment of health records,chronic disease health management,and their utilization rates were 77. 88% ,65. 27% ,61. 08% and 58. 42% respectively;the average utilization rate of basic public services of residents was 19. 38% . In the supply of basic public health services by health technicians,the supply rate of planned immunization was the highest and it was 62. 38% ;and the next was the establishment of health files and health records updating,the supply rate were 60. 87% ;the average supply rate of basic public health services by health technicians was 49. 13%. Conclusion The supply and utilization of basic health services and basic public health services in community health service institutions are unbalanced,thus supporting policies of medical association and hierarchical diagnosis and treatment need to follow up and be in practice.关键词
社区卫生服务机构/卫生服务/利用/供给/乌鲁木齐Key words
Community health service institutions/Health services/Utilization/Supply/Urumqi分类
医药卫生引用本文复制引用
姚萱,赵延芳,邓峰..乌鲁木齐市社区卫生服务机构服务利用与供给现状研究[J].中国全科医学,2016,19(34):4173-4177,5.基金项目
新疆维吾尔自治区社会科学基金项目 （）
