Abstract: Objective　To investigate the current situation research of service utilization and supply of community health service institutions in Urumqi City.Methods　By multistage sampling method,Xinshi District,Tianshan District,Shayibake District and Midong District were selected from the seven districts of Urumqi;and two community health service institutions were randomly selected from Xinshi District;and one community health service institution was selected from Tianshan District,Shayibake District and Midong District respectively.With the method of accidental sampling method in the neighborhood of community health service institutions,300 residents were respectively enrolled from two community health service institutions in Xinshi District;200 residents were separately selected from the other 3 institutions.A cluster sampling method was adopted to enroll all the health workers in the five community health service institutions.From June to September of 2015,a self-designed questionnaire was used to carry out the survey.The survey mainly included the basic information of community residents,the utilization of basic medical services and basic public health services;the basic situation of community health technicians,supply of basic medical services and basic public health services.Results　The basic medical services used by community residents are mainly concentrated on the diagnosis and treatment of common diseases,frequently-occurring disease,and the utilization rate of pharmaceutical services was 78.85%,the utilization rate of treatment was 66.45%,and the utilization rate of disease diagnosis was 51.05%;the utilization rate of family health care services,referral services,emergency services and rehabilitation service less than 5%;the average utilization rate of basic medical services by community residents was 23.70%.In the provision of basic medical services of health workers,the supply rate of disease diagnosis was the highest of 87.13%;the supply rates of referral services,regular medical examinations and inpatient services were 80.20%,68.86% and 60.34% respectively;the supply rates of home visits,home care and home sick-bed were 32.34%,30.30% and 7.78% respectively;the average supply rate of basic medical services by health technicians was 46.28%.The use of basic public health services by community residents is mainly concentrated on planned immunization,health management for the elderly,the establishment of health records,chronic disease health management,and their utilization rates were 77.88%,65.27%,61.08% and 58.42% respectively;the average utilization rate of basic public services of residents was 19.38%.In the supply of basic public health services by health technicians,the supply rate of planned immunization was the highest and it was 62.38%;and the next was the establishment of health files and health records updating,the supply rate were 60.87%;the average supply rate of basic public health services by health technicians was 49.13%.Conclusion　The supply and utilization of basic health services and basic public health services in community health service institutions are unbalanced,thus supporting policies of medical association and hierarchical diagnosis and treatment need to follow up and be in practice.

Key words: Community health service institutions, Health services, Utilization, Supply, Urumqi

摘要： 目的　了解乌鲁木齐市社区卫生服务机构服务利用与供给现状。方法　采用多阶段抽样方法，在乌鲁木齐市7个区中抽取新市区、天山区、沙依巴克区及米东区4个区，在新市区随机抽取2所社区卫生服务机构；在天山区、沙依巴克区及米东区各随机抽取1所社区卫生服务机构。采用在社区卫生服务机构周边偶遇抽样的方法，在新市区2所社区卫生服务机构各抽取居民300人；其余3所社区卫生服务机构各抽取居民200人。采用整群抽样法，纳入5所社区卫生服务机构的全部卫生技术人员。于2015年6—9月，采用自行设计的调查问卷进行调查，主要调查内容包括社区居民的基本情况、对基本医疗服务和基本公共卫生服务的利用情况；社区卫生技术人员的基本情况、对基本医疗服务和基本公共卫生服务的供给情况。结果　社区居民对基本医疗服务的利用主要集中在常见病、多发病诊疗，其中药品服务利用率为78.85%，治疗利用率为66.45%，疾病诊断利用率为51.05%；对家庭卫生保健服务、转诊服务、急救服务及康复服务的利用率均不足5%；社区居民对基本医疗服务的平均利用率为23.70%。卫生技术人员对基本医疗服务的供给中，疾病诊断的供给率最高，为87.13%；转诊服务、定期体检、住院服务的供给率分别为80.20%、68.86%、60.34%；家庭出诊、家庭护理、家庭病床的供给率分别为32.34%、30.30%、7.78%；卫生技术人员对基本医疗服务的平均供给率为46.28%。社区居民对基本公共卫生服务的利用主要集中在计划免疫接种、老年人健康管理、建立健康档案、慢性病健康管理，利用率分别为77.88%、65.27%、61.08%、58.42%；居民对基本公共卫生服务的平均利用率为19.38%。卫生技术人员对基本公共卫生服务的供给中，计划免疫的供给率最高，为62.38%；其次是建立健康档案、更新健康档案，供给率均为60.87%；卫生技术人员对基本公共卫生服务的平均供给率为49.13%。结论　社区卫生服务机构基本医疗服务、基本公共卫生服务的供给与利用不平衡，医疗联合体、分级诊疗配套政策需要跟进落实。

关键词: 社区卫生服务机构, 卫生服务, 利用, 供给, 乌鲁木齐