摘要
目的了解社区居民的慢性病管理方式及其影响因素,提高社区卫生服务机构的慢性病管理能力。方法采用多阶段分层随机抽样方法,对北京市方庄社区10 000名城市居民进行问卷调查。结果社区居民到社区卫生服务机构就诊的主要目的是辅助检查(31.1%)、健康咨询(22.2%)及生活方式指导(20.2%);68.7%的社区居民认为社区医务人员技术水平不高是导致居民社区卫生服务利用率低下的一个主要原因;30.6%的调查对象患有慢性病,慢性病患者的主要慢性病管理方式是社区卫生服务机构管理(52.4%)、自我管理(25.3%)、医院管理(19.8%)。结论提高社区医护人员专业技术水平和人际沟通能力是改善社区慢性病患者自我管理及社区管理的重要手段之一。
Objective To investigate the management model of chronic diseases of community residents and the influencing factors so as to raise the ability to manage chronic diseases in community health service institutions. Methods A multi-stage stratified random sampling method was taken to choose 10 000 urban residents in Beijing Fangzhuang community,and questionnaire survey was conducted among them. Results The main purpose of community residents to visit the community health services（CHS） were assistant examination（31.1%）,health consulting（22.2%） and lifestyle guidance（20.2%）;Some 68.7% of the residents held that the lower technological still was the a major cause of low utilization of CHS by the residents.Chronic disease were found in 30.6% of the investigated subjects.The main forms of management for chronic diseases were by CHS institution（52.4%）,by oneself（25.3%）,and by hospital（19.8%）. Conclusion To improve the professional level of medical staff of community health care institution and interpersonal communication skills is one of the important means to enhance the ability of patients with chronic diseases in self-management and community management.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第4期426-427,共2页
Chinese General Practice
基金
首都医学发展科研基金获准资助项目(2007-3152)
关键词
慢性病管理
社区卫生服务
影响因素
Chronic disease management
Community health services
Influencing factors
