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本文对兰州市三县六区1102名60岁及以上老年人的家庭卫生问卷进行统计分析。得出:兰州城市每天有72位65岁及以上年龄的老年人生病就诊,农村有168位;城市有慢性病老年患者4274人,农村有2810人;城市一年有9746人次的老年病人住院,农村有254人次住院。因病门诊、住院二项医疗费用一年可达:农村为711550.56元,城市为38492198.8元,共计39203749.36元。城乡老年人口的医疗服务需要量高于全市总人群,城市老年人口的门诊医疗服务利用低而住院利用高;农村老年人口的门诊利用高而住院利用低。并提出了改善老年人群卫生服务的对策及老年人口的卫生保健模式。
This article analyzes the family health questionnaires of 1102 elderly people aged 60 years and over in six districts of three counties in Lanzhou City. It is concluded that 72 elderly people aged 65 and above are ill and see a doctor every day in the city of Lanzhou. There are 168 rural residents; there are 4274 elderly patients with chronic diseases in the city, 2810 people in rural areas; and there are 9746 old people in the city hospitalized in elderly patients in a year. There were 254 hospitalizations. The medical expenses for outpatient treatment and hospitalization can reach one year: 711,550.56 yuan in rural areas and 3,849,2198.8 yuan in cities, totaling 39,203,749.36 yuan. The medical service requirements of the urban and rural elderly population are higher than the total population in the city. The use of outpatient medical services in the urban elderly population is low and hospitalization utilization is high; the outpatient use of rural elderly population is high and hospitalization is low. It also proposed measures to improve health services for the elderly population and the health care model for the elderly population.