目的了解老年人慢性病现状及就医情况。方法用多阶段随机抽样法,对济宁市≥65岁的504位老年人进行问卷调查。结果济宁市老年人慢性病总患病率为74.0%,高血压、心脏病、糖尿病的患病率分别为34.3%、13.3%和9.3%,70岁以上患病率(77.0%)较高。96.2%的老年人患较严重疾病时能及时就医,首次就诊在村诊所或社区服务站者占52.8%,12.2%在卫生院,35.1%在县级及以上医院。结论济宁市老年人慢性病患病率较高,村诊所或社区服务站和卫生院是其首选就诊场所,应注重提高基层卫生服务机构的业务水平和服务质量。 Objective To understand the current status of chronic diseases and medical treatment in the elderly. Methods A multistage random sampling method was used to survey 504 seniors ≥65 years old in Jining. Results The total prevalence of chronic diseases was 74.0%. The prevalence rates of hypertension, heart disease and diabetes in Jining were 34.3%, 13.3% and 9.3% respectively. The prevalence of hypertension over 70 years old was higher (77.0%). 96.2% of elderly people get timely medical treatment when suffering from serious diseases. Among them, 52.8% of them visit the clinic or community service station for the first time, while 12.2% are in hospitals and 35.1% are hospitals at county level and above. Conclusion The prevalence of chronic diseases in the elderly in Jining City is high. Village clinics or community service stations and hospitals are the first choice places to visit. The emphasis should be placed on improving the professional level and service quality of primary health care institutions.