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比较东西部城区市社居民健康状况、卫生需求及利用,因地制宜地开展社区卫生服务(CHS)工作,对西部的开发是重大的贡献,也是健康的保证。东西部城市社区居民的健康问题有显著性差别,东部地区自报慢性病较西部多,而西部地区自报“亚健康”问题较东部高。东部地区多是利用二、三级医院,而西部地区多是利用一级医院。东西部两周支付的医药费基本无差别,大约在10～999元的水平。结论:加强和发展社区卫生服务工作;在东西部地区进行定期追踪,以发现能反映CHS进展的最新信息。
Comparing the health status, health needs and utilization of residents in urban and rural areas, and implementing community health service (CHS) work in line with local conditions is a major contribution to the development of the western region and a guarantee of health. There are significant differences in the health problems among urban residents in the eastern and western regions. The eastern region has more self-reported chronic diseases than the western region, while the self-reported “sub-health” problem in the western region is higher than in the east. Most of the eastern regions use secondary and tertiary hospitals, while most of the western regions use primary hospitals. There is no difference in the medical expenses paid between the eastern and western regions in two weeks, which is about 10 to 999 yuan. Conclusion: Strengthen and develop community health service work; conduct regular tracking in the eastern and western regions to find the latest information that can reflect the progress of CHS.