文章摘要
顾紫薇,胡 月.社区老年人家庭医生签约和服务需求状况调查[J].南京医科大学学报(社会科学版),2021,(1):83~88
社区老年人家庭医生签约和服务需求状况调查
Investigation on the signing of family doctors and service demand among the elderly in community
投稿时间:2020-03-17  
DOI:10.7655/NYDXBSS20210117
中文关键词: 社区  老年人  家庭医生  卫生服务  健康教育
英文关键词: community  the elderly  family doctor  health service  health education
基金项目:江苏高校哲学社会科学研究项目“农村老年人健康需求的影响因素与健康管理模式研究”(2017SJB0268);南京医科大学哲学社会科学发展专项重点项目“‘医养融合’视野中农村老年人健康管理共治模式研究”(2017ZSZ002)
作者单位
顾紫薇 上海市疾病预防控制中心资产管理科 上海 200336 
胡 月 南京医科大学医政学院 江苏 南京 211166 
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中文摘要:
      通过自行设计问卷调查南京和无锡两市60岁及以上老年人家庭医生签约服务和家庭医生服务需求状况,发现存在的问题,针对性提出改进建议。结果发现,533例老年人中,签约家庭医生182例,占34.1%;未签约299例,占56.1%;不清楚是否签约52例,占9.8%。老年人家庭医生签约情况在年龄、收入水平、是否有配偶及受教育程度方面比较,差异有统计学意义(P<0.05)。要合理配置并有效利用卫生资源,加强全科医学卫生技术人才队伍建设,做好家庭医生签约服务和社区健康教育宣传,提高居民的认知深度和参与积极性,提高家庭医生签约率,促进社区健康教育,改善社区老年人健康水平。
英文摘要:
      The study aimed to analyze the signing of family doctorsand health service demand ofthe elderly over 60 years old in community in Nanjing and Wuxi, and to find out the existing problems and propose targeted improvement suggestions. Results showed that among the 533 elderly people, 182(34.1%) signed family doctors, 299(56.1%) did not sign family doctors, and 52(9.8%) did not know whether to sign family doctors. There were significant differences in the signing of elderly family doctorsin terms of age, income level, spouse and education level of the elderly family doctors(P<0.05). It is necessary to rationally allocate health resources, strengthen the construction of general medical talents, strengthen family doctors signing services and community health education publicity,improve residents’ cognitive depth and participation enthusiasm, improve the signing rate of family doctors, promote community health education, and improve the health level of the elderly in the community.
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