CAJ | 학술논문

目的分析地级市卫生服务供需特点,提出该类城市社区卫生服务体系建设的对策和思路.方法对<第四次国家卫生服务总调查>结果按按照直辖市、副省级和省会城市、非省会地级市进行归纳整理和统计分析.结果非省会地级市卫生服务地理可及性高,但经济、技术可及性低.两周患病率略低,但儿童患病率高.居民自评健康状况相对较高,但同时健康危险因素水平高.结论建议在非省会地级市进一步加强体系布局建设,积极与大城市开展纵向合作,提高技术水平,加强传染病防治,开展健康促进和脆弱人群保健等公共卫生服务,不断满足居民需求.
목적 분석지급시위생복무공수특점,제출해류성시사구위생복무체계건설적대책화사로.방법 대<제사차국가위생복무총조사>결과안안조직할시、부성급화성회성시、비성회지급시진행귀납정리화통계분석.결과 비성회지급시위생복무지리가급성고,단경제、기술가급성저.량주환병솔략저,단인동환병솔고.거민자평건강상황상대교고,단동시건강위험인소수평고.결론 건의재비성회지급시진일보가강체계포국건설,적겁여대성시개전종향합작,제고기술수평,가강전염병방치,개전건강촉진화취약인군보건등공공위생복무,불단만족거민수구.
Objective This article analyzed the characteristics of the health service in medium cities and the impact on community health service.Methods Summary and statistical analysis of the outcomes from the Fourth National Health Service Survey by the category of metropolitans,sub-provincial cities and provincial capital cities,and non-provincial-capital cities.Results In the medium cities,the geographical accessibility is high against low economic and technology accessibility.These cities have lower 2-week morbiditv rate but high children morbidity rate.These cities also feature high self-rated health status among residents and high health risk factors prevalence at the sarne time.Conclusion Medium cities are recommended to further build their CHS system,enhance their ties with larger cities,so as to elevate their technical competence,for meeting such public health needs of the people in infectious disease control,health promotion and vulnerable population healthcare.