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目的了解闵行区华漕镇家庭医生责任制签约居民基本健康状况,为更好地推行家庭医生责任制提供科学依据。方法采用整群随机抽样方法,自行设计调查问卷,共调查450户1 207人。结果调查对象中31.57%的人患有高血压,10.94%患有糖尿病,8.62%患有心脏病;居民对于“吸烟对健康有害”、“听说过传染病”、“知道孩子要接种疫苗”等知识知晓率均在95%以上;知道自己血压的居民有75.48%,知道自己血糖的居民有54.76%,两年内接受过健康体检的居民占56.26%。过去一年88.54%的居民首选社区卫生服务中心或医疗点就诊。被调查居民均与社区卫生服务中心签约,签约原因主要为签约免费、将有固定医生提供连续性照顾、可以免费健康咨询等。结论华漕社区老龄化和疾病谱变化等现状使家庭医生责任制推行显得十分必要。社区居民健康知识知晓率较高,健康行为有待提高;社区居民以签约形式与家庭医生建立了联系,但对家庭医生了解不足,建议扩大宣传;公共卫生产品利用率不高,需进一步向社区居民推广,形成预防为主的健康理念。
Objective To understand the basic health conditions of contracted residents in Huacao Town, Minhang District, and provide scientific basis for better implementation of the responsibility system of family doctors. Methods A cluster random sampling method was used to design a questionnaire. A total of 450 households with 1,207 people were investigated. Results 31.57% of the respondents had high blood pressure, 10.94% had diabetes, and 8.62% had heart disease. Residents were aware of “smoking is harmful to health”, “I have heard of infectious diseases”, “ Children should be vaccinated ”and other knowledge are more than 95% awareness rate; 75.48% know that their blood pressure of residents, those who know their own blood sugar 54.76%, within two years of health check-up residents accounted for 56.26%. In the past year, 88.54% residents preferred community health service centers or medical treatment points. Residents were surveyed and community health service centers signed, the main contract for the signing of the contract for free, there will be a fixed doctor to provide continuous care, free health consultation. Conclusion The status quo of Huacao community aging and disease spectrum changes makes the implementation of the responsibility system for family doctors very necessary. Community residents have a higher awareness of health knowledge and health behaviors need to be improved; community residents have established contact with family doctors through contract signing, but lack of understanding of family doctors, it is recommended to expand publicity; utilization rate of public health products is not high and needs to be further extended to community residents Promotion, the formation of prevention-based health philosophy.