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目的探讨空巢老人社区卫生服务需求及利用的现状。方法采用整群随机抽样入户调查的方法,用自编问卷对760名60岁及以上老年人进行了调查。结果空巢老人慢性病患病率为73.2%,空巢组对社区卫生服务需求,前三位的分别为上门诊疗服务、定期体检、健康教育;空巢组和非空巢组老人对社区卫生服务需求项目无差异(P>0.05)。男女性空巢老人2 w就诊率分别达31.6%、22.7%,不同文化程度空巢老人2 w内发病就诊率和利用社区卫生服务有差异(P<0.01,P<0.05);不同医疗保障的空巢老人对就医机构选择差异有统计学意义(P<0.001)。结论社区卫生服务应根据老年人特性,以需求为导向,提供多形式、全方位的社区卫生服务,提高其利用率和服务质量,满足空巢老人的需求。
Objective To explore the demand and utilization of empty-nesters community health services. Methods The method of cluster random sampling was used to survey 760 760-year-old and above elderly people with self-made questionnaire. Results The prevalence of chronic diseases in empty-nesters was 73.2%. The demand of community-based health services in empty-nests was the first three were on-site medical services, regular physical examination and health education. The elderly in empty-nested group and non-empty-nested group had higher rates of community health services No difference in demand items (P> 0.05). The prevalence rates of out-patient visits and utilization of community health services in empty-nest elderly people with different education levels were significantly different within 2 w of education (P <0.01, P <0.05) after 2 weeks of treatment for empty-nest elderly men and women, respectively. The rates of different medical care There was a significant difference in the choice of medical institutions between empty-nesters (P <0.001). Conclusion Community health services should be based on the characteristics of the elderly, demand-oriented, provide multi-form and comprehensive community health services, improve their utilization rate and service quality, and meet the needs of empty nesters.