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目的了解唐山辖区基层卫生服务机构对老年人卫生服务项目的开展情况,探讨老年人对基层卫生服务的利用情况及其影响因素。方法在唐山市辖区内随机整群抽取了95家社区卫生服务(CHS)机构和122家乡镇卫生院。对基层卫生服务机构对老年人卫生服务项目的开展和老年居民利用基层卫生服务的影响因素进行收集和整理。结果 217家基层卫生服务机构在老年慢性病管理(97.2%)、为老年人建立健康档案(99.5%)、健康教育(96.3%)等方面的工作开展率较高。而针对老年人开展的生活照料及家庭陪护的服务项目开展率极低(2.8%)。Logistic回归的统计结果显示,老年居民对基层卫生服务的利用情况与婚姻状况、医疗费用承担方式、养老方式、患慢性病情况、生活自理能力有关。结论基层卫生服务机构已开展的服务项目开展率明显大于老年居民对其的利用率,卫生服务工作形式大于内容,有待落到实处。
Objective To understand the implementation of health services for elders in grass-roots health service agencies in Tangshan area and explore the utilization of grass-roots health services by the elderly and its influencing factors. Methods A total of 95 Community Health Service (CHS) agencies and 122 township health centers were randomly selected from Tangshan municipality. Carry out the health service programs for the elderly in primary health service agencies and the factors influencing the utilization of primary health care services for the elderly residents. Results A total of 217 grass-roots health service agencies took up a relatively high rate in the management of elderly chronic diseases (97.2%), establishing health records for the elderly (99.5%), and health education (96.3%). However, services for the elderly living with family care and care are very low (2.8%). Logistic regression results show that elderly residents on the use of primary health care and marital status, the way the medical costs, pension, chronic diseases, life self-care ability. Conclusions The rate of service projects carried out by grass-roots health service institutions has been significantly higher than that of the elderly residents. The form of health service is larger than the content and needs to be implemented.