河北省老年慢性病居民就医用药情况及满意度调查

摘要

[目的]了解河北省老年人口学特征及患慢性疾病情况，分析河北省慢性病城乡老年人就医、用药情况及满意度。[方法]采用自行设计问卷，对河北省3个城市城乡60岁及以上的6173名老年人进行问卷调查。[结果]老年人患有慢性病人数达4633人(75.1%)，患2种及以上者2992人(64.6%)；总患病率在前5位的是高血压、心脏病、风湿性关节炎、糖尿病、骨质疏松症，城乡之间存在差异；患慢性病老年人就医用药情况复杂，存在住院率、跌倒发生率较高，就诊率、接受规范治疗差、诊疗满意度低等问题；城市老年人生活满意度、家人关怀满意度、医疗费用满意度好于农村(P<0.05)。[结论]河北省老年慢性病患病率较高，城市之间存在差异；应关注老年人慢性病问题、就医用药情况及满意度，尤其是农村老年人，加大社区卫生服务投入，完善医疗保险和养老保障制度，改善养老环境，提高老年人生活质量。%Objective:To the demographic characteristics and chronic diseases of the elderly in Hebei Province, and to analyze the situation of medical treatment,medication and satisfaction degree of patients with chronic dis-eases in Hebei province.Methods:A total of 6 173 elderly people were surveyed by using a self designed ques-tionnaire who aged 60 years and older in 3 cities in Hebei province.Results:There were 4 633 cases with chronic diseases in the elderly people(75.1%).2 992 cases (64.6%)had 2 species and more.Total prevalence ranking in the top 5 included hypertension,heart disease,rheumatoid arthritis,diabetes and osteoporosis.There was the difference in them between urban and rural areas.The medical treatment and medication status of the elderly patients with chronic diseases was complex.There were some problems including high incidence in hospitaliza-tion and falls,poor visit rate and standard treatment,low treatment satisfaction and so on.Life satisfaction,fam-ily care satisfaction,satisfaction with medical expenses of urban elderly were higher than that in rural areas(P<0.05).Conclusion:There was a high prevalence of chronic diseases in Hebei Province.There was a difference in prevalence of chronic diseases between urban and rural areas.The chronic diseases,medical treatment and medi-cation and satisfaction of the elderly patients should be paid attention to,especially in rural areas.It could in-crease investment in community health services,improve the health insurance and pension system,improve the pension environment and enhance the quality of life of the elderly.