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通过对中关村社区居民卫生服务需要与利用调查,表明该社区≥65岁老龄人口样本构成为12.8％;大专及以上学历占42.8％,科技人员占20.l％;居民两周患病率115‰;主要病种为慢性病,居民慢性疾病患病率为369.5‰,前5位病种依次为高血压、冠心病、椎间盘病变、运动系疾病、糖尿病;居民两周就诊率为 151‰,未就诊率33.99％;居民急诊率为 193.7‰;年住院率5％,未住院率为 3.4％,住院病种以慢性病为主;妇女、儿童及≥60岁老年人医疗保健状况均处于中上水平。 该社区慢性病中高血压患病率52.4‰居第一位,患病年龄从20岁组开始呈上升趋势。慢性病是该社区主要卫生问题。 年龄因素对卫生服务需要指标影响大,医疗保健制度对卫生服务利用指标影响大。
According to the investigation on the needs and utilization of health services in the community residents of Zhongguancun, the sample size of the community aged ≥ 65 is 12.8%; 42.8% are college graduates or above, 20.1% are scientific and technical personnel; and the prevalence is 115. The main diseases were chronic diseases. The prevalence rate of chronic diseases among residents was 369.5‰. The top 5 diseases were hypertension, coronary heart disease, intervertebral disc disease, sports diseases and diabetes. The residents’ two-week consultation rate was 151‰. The rate was 33.99%; the emergency rate for residents was 193.7‰; the annual hospitalization rate was 5%; the non-hospitalization rate was 3.4%; the inpatients were mainly chronic diseases; the health care status of women, children, and ≥60-year-olds were all in the middle and upper levels. The prevalence of hypertension in the community’s chronic diseases ranked first in 52.4, and the age of the disease began to rise from the age of 20 years. Chronic diseases are the main health problems in the community. The age factor has a great influence on the indicators of health service needs, and the health care system has a large impact on the use of health services.