中文摘要：

目的：了解遵义市城区老年人健康状况及卫生支出,为制定卫生政策提供依据。方法：采用自制问卷对遵义市城区294位老年人基本情况、健康状况、卫生支出进行调查并分析。结果：遵义市城区老年人患病率（慢病）为44%,24%的老人不知道自己是否患病。老年人所患前四位慢性病依次为风湿性关节炎（40%）、高血压（20%）、糖尿病（12%）、慢性支气管炎（8%）。半年内身体感到不适的老人占58%,42%的老人选择在社区卫生服务中心就诊,26%选择住院治疗。住院老人中半年内卫生支出在1 000元以下者占28%,1 000～3 000元占44%,3 000～10 000元占22%,10 000元以上者6%。48%的老人对当前的卫生服务价格不满意。结论：医疗费用过高在很大程度上影响了遵义市城区老年人健康状况及就医行为,而社区老年卫生服务体系不完善,不能为老年人提供方便、快捷、经济的医疗保健服务。因此,应加大医疗保险报销力度及范围,简化医疗保险报销手续,尽快完善社区卫生服务体系,真正实现老有所医。

英文摘要：

Objective To understand elderly people＇s health status and expenditure in Zunyi city,and to provide the basis for the formulation of health policy.Methods A self-made questionnaire including basic information,health status,health expenditure was used,and 294 elderly people in Zunyi city were investigated.Results The prevalence of chronic diseases was 44%.24% of the elderly people did not know whether they caught chronic disease or not.The top four chronic diseases the aged suffering from were rheumatoid arthritis（40%）,hypertension（20%）,diabetes（12%）,and chronic bronchitis（8%）.Physical discomfort within six months of the aged accounted for 58%,42% of whom chose treatment in community health centers,26% chose hospitalization.When hospitalized,the patients with health expenditure of less than 1 000 yuan within six months accounted for 28%,1 000-3 000 yuan 44%,3 000-10 000 yuan 22%,and above 10,000 yuan 6%.48% of the elderly people were not satisfied with the current charge of health services.Conclusions High health expenditures affect the health behavior and status of elderly people in Zunyi city to a large extent.Community health service system for elderly people is imperfect,which can not provide convenient,fast,affordable health care services,and we should therefore increase the intensity and scope of healthcare reimbursement,simplify healthcare reimbursement procedures,and improve community health service system as soon as possible,to ensure elderly people satisfactory healthcare.