成都市高血压糖尿病患者社区卫生服务知晓率与利用率分析.docVIP

163.com NGP 中 国 全 科 医 学 2 0 0 9 年 7 月 第 1 2 卷 第 7A期 ·1237 · · 全 科 医 疗 / 社 区 卫 生 服 务 工 作 研 究 · 成都市高血压糖尿病患者社区卫生服务知晓率与利用率分析 柴云，樊宏，杨德华，汪文新，潘传德，卢祖洵 【摘要】 目的 对成都市高血压糖尿病患者社区卫生服务知晓率、利用率及影响利用的因素进行分析。方法 采用问卷调查方法对1716名高血压患者和590名糖尿病患者进行调查，采用描述性方法、 X2 检验对高血压糖尿病患 者的社区卫生服务知晓率、利用率及影响利用的因素进行分析。结果 成都市社区卫生服务中的高血压患者对社区卫 生服务知晓率和利用率分别为79.43%、94.81%,糖尿病患者分别为79.15%、89.49%。年龄、医疗费用支付方式、 知晓免费血压测量点与否、知晓血压正常值与否对高血压患者社区卫生服务利用率间差异有统计学意义 (P0.05)。 职业、医疗费用支付方式对糖尿病患者社区卫生服务利用率间差异有统计学意义 (P0.05)。 结论 加强高血压防 治知识教育；针对年龄70岁以上高血压患者、待业下岗失业人员的糖尿病患者宣传社区卫生服务功能等，促进社区卫 生服务的利用。 【关键词】 社区卫生服务；高血压；糖尿病；知晓率；利用率 【中图分类号】 R197 【文献标识码】 A 【文章编号】1007-9572(2009)07- 1237-03 Rates of Awareness and Health Service Utilization of Hypertension and Diabetes Patients in Community Health Services in Chengdu City CHAI Yun, FAN Hong,YANG De - hua,et al. Department of Social Medicine and Health Service Management, Public Health School, Huazhong Universily of Science and Technology, Wuhan 430030,China 【Abstract] Objective To analyze the rates of awareness and health service utilization of the hypertension and diabetes patients, and factors influencing utilization in the community health services(CHS) of Chengdu city. Methods A survey was conducted by stratified sampling. The rates of awareness and health service utilization and its influential factors were analyzed by the descriptive methods and Chi - square test. Results The rates of awareness and health service utilization were 79.43% and 94.81% for the hypertension patients,and 79. 15% and 89.49% for the diabetes patients in the CHS of Chengdu city. CHS uti- lization rates were significantly different among hypertension patients in different age groups, with types of medical payment, who know or not know blood pressure test sites of free from charge and normal value of blood pressure in the(P0.05);and the CHS uilization rates were significantly different among diabetes patients with different types of occupation and medical payment ( P0.05). Conclusion There