能否根据卫生服务未满足需求的现状来分析卫生资源整合组织情况？以中国浙江省某地老年人的卫生需求为例。
Can the organization of health resource integration be analyzed in terms of the current state of unmet demand for health services? take the health needs of the elderly in a place in zhejiang province, china, as an example.
机构信息
Department of Medicine, Huzhou University, Huzhou, 313000, China.
Huzhou First People's Hospital, Huzhou, China.
出版信息
BMC Prim Care. 2022 Nov 19;23(1):288. doi: 10.1186/s12875-022-01893-7.
BACKGROUND
The aging of the population has made the health problems of the elderly increasingly prominent, and their health needs are increasing. Existing studies on health resource integration approaches are mostly incomplete in assessing the health service capacity from the perspective of the health service provider.
OBJECTIVE
The unmet health needs of the elderly were sampled and analyzed from the perspective of health service demanders. To explore how to build an integrated medical organization structure to better meet the health needs of the elderly.
METHODS
A whole-group sampling method was used to conduct a questionnaire survey of 1527 older adults in N district of H city, Zhejiang province, China, to cross-sectionally analyze their current status of unmet health needs.
RESULTS
The survey and analysis found that the needs of the elderly in this community to obtain disease-related knowledge, rational exercise, a healthy diet, and access to health information were not met. There were more patients with chronic diseases, and the top three chronic disease prevalence rates were hypertension (40.2%), dyslipidemia (8.4), and diabetes (7%). Chronic disease co-morbidities accounted for 13.3%.
CONCLUSION
The relatively independently set up health service system at the present stage in China can no longer fully meet the health needs of the elderly, and the health service providers should provide integrated and continuous health services to meet the needs of whole-cycle health management. Therefore, we believe that effectively integrating various health service providers in the region and building an integrated health service organization with general practitioners as the core may be a solution to the current situation of unmet health needs of the elderly.
背景
人口老龄化使得老年人的健康问题日益突出，其健康需求也在不断增加。现有关于卫生资源整合方法的研究大多从卫生服务提供者的角度评估卫生服务能力不完整。
目的
从卫生服务需求者的角度抽样分析老年人的未满足健康需求，探讨如何构建整合型医疗组织结构，更好地满足老年人的健康需求。
方法
采用整群抽样方法，对浙江省 H 市 N 区的 1527 名老年人进行问卷调查，横截面对其未满足的健康需求现状进行分析。
结果
调查分析发现，该社区老年人在获得疾病相关知识、合理运动、健康饮食和获取健康信息方面存在需求未得到满足的情况。慢性病患者较多，前三种慢性病患病率分别为高血压（40.2%）、血脂异常（8.4%）和糖尿病（7%）。慢性病共病率为 13.3%。
结论
现阶段中国相对独立设置的卫生服务体系已不能完全满足老年人的健康需求，卫生服务提供者应提供整合性、连续性的卫生服务，以满足全周期健康管理的需求。因此，我们认为，有效整合区域内各类卫生服务提供者，构建以全科医生为核心的整合型卫生服务组织，可能是解决当前老年人健康需求未得到满足的一种方案。
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