Abstract：Objective To understand the status quo and evaluation of the use of community health services by the elderly in the city at present, to explore the improvement direction of community health institutions in terms of home care under existing conditions. Methods The method of convenience sampling was used. The self-made questionnaire was used to investigate 1433 elderly people in the country from July to December 2015. The data were analyzed by descriptive analysis and Logistic regression analysis. Results The community health service utilization rate was acceptable, 80% of the elderly had the experience of community health institutions treatment. The regression analysis showed that the elderly whose income was lower (P = 0.0009, OR = 2.1201), medical expenses accounted for a higher proportion of total income (P = 0.0181, OR = 0.5027) and who lived with children and their spouses (P = 0.0100, OR = 1.7564) were more inclined to choose community health services. The elderly aged 70-<80 or the elderly who was suffering from ≥ 3 kinds of chronic diseases had the highest utilization rate of community health services. The number of chronic diseases was the main influencing factor of the elderlys′ satisfaction with community health services (P < 0.05). Conclusion Community health institution plays a vital role in solving the nursing needs of home care for the elderly with its advantages of broad mass base, lower cost and close distance. Taking into account the different needs of medical care services with different living conditions and health status, community health institutions should pay more attention to the individual needs of the elderly.
孟浩婷 胡凌娟 崔圆月. 居家养老模式下老年人对社区卫生服务利用现状及评价[J]. 中国医药导报, 2017, 14(30): 63-69.
MENG Haoting HU Lingjuan CUI Yuanyue. Utilization and evaluation of community health service in the elderly under the mode of home-based care for the aged. 中国医药导报, 2017, 14(30): 63-69.
2017, Vol. 14 
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