CAJ | 학술논문

目的：了解乌鲁木齐市城区社区居民的就医意向及对社区卫生服务的认知情况，为建立具有地方民族特色的社区卫生服务机构提供科学参考依据。方法采用偶遇方法，抽取乌鲁木齐市天山区、沙依巴克区、新市区、水磨沟区4个区年龄10岁及以上的本市居民作为调查对象。由本校新疆乌鲁木齐市居住学生组成4人调查小组，于2012年2-7月采用自行设计的调查问卷开展调查。调查内容包括居民的一般情况、居民的就医意向、对社区卫生服务的认知情况及对社区卫生服务机构的意见与建议。结果共发放调查问卷800份，回收有效问卷768份，有效回收率为96.0％，其中汉族477份，少数民族291份。有34.8％（265/762）的居民得小病选择去大医院就诊，17.7％（135/762）的居民选择去社区卫生服务机构就诊；91.8％（618/673）的居民认可“小病在社区、大病去医院”的医疗模式，8.2％（55/673）的居民不认可“小病在社区、大病去医院”的医疗模式；69.2％（459/663）的居民对社区卫生服务机构印象一般；40.6％（260/641）的居民只有生病时才去社区卫生服务机构；居民希望社区卫生服务机构提供医保定点报销服务〔60.4％（408/675）〕、体检〔50.7％（342/675）〕、对慢性病患者和老年人进行随访〔33.6％（227/675）〕等；居民认为社区卫生服务机构急需改进的方面有：常规设备不足〔63.8％（422/661）〕、医务人员业务素质较低〔53.3％（352/661）〕、管理落后作风懒散效率低〔45.5％（301/661）〕等。少数民族居民得小病后更愿意选择大医院就诊，与汉族居民比较，差异有统计学意义（P ﹤0.05）。结论社区居民得小病后更愿意去大医院就诊；对社区卫生服务的了解程度低、利用率低。应提高重视程度，加大社区卫生服务财政投入，加强宣传，对社区卫生服务机构设备、人才、服务等进行大力改革，推动多民族地区社区卫生服务发展。目的：瞭解烏魯木齊市城區社區居民的就醫意嚮及對社區衛生服務的認知情況，為建立具有地方民族特色的社區衛生服務機構提供科學參攷依據。方法採用偶遇方法，抽取烏魯木齊市天山區、沙依巴剋區、新市區、水磨溝區4箇區年齡10歲及以上的本市居民作為調查對象。由本校新疆烏魯木齊市居住學生組成4人調查小組，于2012年2-7月採用自行設計的調查問捲開展調查。調查內容包括居民的一般情況、居民的就醫意嚮、對社區衛生服務的認知情況及對社區衛生服務機構的意見與建議。結果共髮放調查問捲800份，迴收有效問捲768份，有效迴收率為96.0％，其中漢族477份，少數民族291份。有34.8％（265/762）的居民得小病選擇去大醫院就診，17.7％（135/762）的居民選擇去社區衛生服務機構就診；91.8％（618/673）的居民認可“小病在社區、大病去醫院”的醫療模式，8.2％（55/673）的居民不認可“小病在社區、大病去醫院”的醫療模式；69.2％（459/663）的居民對社區衛生服務機構印象一般；40.6％（260/641）的居民隻有生病時纔去社區衛生服務機構；居民希望社區衛生服務機構提供醫保定點報銷服務〔60.4％（408/675）〕、體檢〔50.7％（342/675）〕、對慢性病患者和老年人進行隨訪〔33.6％（227/675）〕等；居民認為社區衛生服務機構急需改進的方麵有：常規設備不足〔63.8％（422/661）〕、醫務人員業務素質較低〔53.3％（352/661）〕、管理落後作風懶散效率低〔45.5％（301/661）〕等。少數民族居民得小病後更願意選擇大醫院就診，與漢族居民比較，差異有統計學意義（P ﹤0.05）。結論社區居民得小病後更願意去大醫院就診；對社區衛生服務的瞭解程度低、利用率低。應提高重視程度，加大社區衛生服務財政投入，加彊宣傳，對社區衛生服務機構設備、人纔、服務等進行大力改革，推動多民族地區社區衛生服務髮展。
목적：료해오로목제시성구사구거민적취의의향급대사구위생복무적인지정황，위건립구유지방민족특색적사구위생복무궤구제공과학삼고의거。방법채용우우방법，추취오로목제시천산구、사의파극구、신시구、수마구구4개구년령10세급이상적본시거민작위조사대상。유본교신강오로목제시거주학생조성4인조사소조，우2012년2-7월채용자행설계적조사문권개전조사。조사내용포괄거민적일반정황、거민적취의의향、대사구위생복무적인지정황급대사구위생복무궤구적의견여건의。결과공발방조사문권800빈，회수유효문권768빈，유효회수솔위96.0％，기중한족477빈，소수민족291빈。유34.8％（265/762）적거민득소병선택거대의원취진，17.7％（135/762）적거민선택거사구위생복무궤구취진；91.8％（618/673）적거민인가“소병재사구、대병거의원”적의료모식，8.2％（55/673）적거민불인가“소병재사구、대병거의원”적의료모식；69.2％（459/663）적거민대사구위생복무궤구인상일반；40.6％（260/641）적거민지유생병시재거사구위생복무궤구；거민희망사구위생복무궤구제공의보정점보소복무〔60.4％（408/675）〕、체검〔50.7％（342/675）〕、대만성병환자화노년인진행수방〔33.6％（227/675）〕등；거민인위사구위생복무궤구급수개진적방면유：상규설비불족〔63.8％（422/661）〕、의무인원업무소질교저〔53.3％（352/661）〕、관리락후작풍라산효솔저〔45.5％（301/661）〕등。소수민족거민득소병후경원의선택대의원취진，여한족거민비교，차이유통계학의의（P ﹤0.05）。결론사구거민득소병후경원의거대의원취진；대사구위생복무적료해정도저、이용솔저。응제고중시정도，가대사구위생복무재정투입，가강선전，대사구위생복무궤구설비、인재、복무등진행대력개혁，추동다민족지구사구위생복무발전。
Objective To know patient′s intention of visiting doctor in urban community of Urumqi and the status quo of community health service(CHS)so as to provide an scientific evidence for establishing local national characteristics of the community health service agencies. Methods A self - designed questionnaire survey was conducted by a research team of 4 student residents among randomly sampled 800 community residents located in the Tianshan area,Shayibake area,Xinshi area, Shuimogou area in urban areas of Urumqi about their general information,medical intention,knowledge of community health service and opinions and suggestions. Results 800 questionnaires were distributed and 768 were returned and the effective rate was 96. 0% ,among which 477 were from Han nationality and 291 from minority. The result showed 34. 8% (265 / 762)of Uru-mqi urban residents selected general hospitals and only 17. 7% (135 / 762) residents selected community health service agen-cies. 91. 8% (618 / 673)residents approved the medical model of " slight illness in the community,sever illness in the hospi-tal",while 8. 2% (55 / 673)not. 69. 2% (459 / 663)residents hold a general impression on community health service centers.Only 40. 6% (260 / 641)residents went to community health service centers for treatment only when they felt ill;60. 4% (408 /675)residents wanted community health service centers should to provide medical insurance fixed - point reimbursement service;50. 7% (342 / 675)residents wanted health examination service and 33. 6% (227 / 675)residents wanted follow - up service of patients of chronic diseases and the elderly,and so on. What the residents dissatisfied with included shortage of conventional e-quipments 63. 8% (422 / 661),medical personnel′s low professional quality 53. 3% (352 / 661)and poor management and lan-guid style 45. 5% (301 / 661)etc. Ethnic minorities were more willing to go to large hospitals compared with Han majorities and the difference was significant ( P ﹤ 0. 05 ) . Conclusion Community residents are more willing to go to large hospi-tals. Community residents have little knowledge of community health service,the utilization rate of which is very low. To solve it, government should make more financial investment in community health service,strengthen propaganda and reform equipments, staff members and services to promote the development of the community health service in multinational areas.