Survey of awareness and related problem of health management in Shanghai city communities

Objective To survey health cognition of residents in Shanghai city communities, and to analyze the causes, and to put forward related suggestions. Methods In October of 2013, this study was conducted in communities of Shanghai central district (Xuhui District), urban border area (Minhang District), and suburban area (Jinshan District); 800 residents from each health cognition outpatient clinic (400 people from each of hospitals and community health service center), totally 2 400 residents were studied and investigated in the communities of Shanghai city, and 2 082 questionnaire were received (the questionnaire recovery rate was 86.75%). We used stratified random cluster sampling method, and self-designed investigation form, and did pre-experiment. The Survey included: Whether doctors need to carry out the evaluation work about risk factors, to implement health for school students, to implement health for people over years old, to implement the elderly health for pension agencies, to implement special crowd health for special people; conduct questionnaire of demand level for different population groups (type, age, gender, marital status, retirement, occupation, level of education and medical insurance form). Results The research results found that, when asked about the family doctor to carry out risk assessment , family doctor to implement special health management , whether doctors need to teach health to students , doctor should undertake the health work for the people over the age of 60 , whether doctors should implement special health management , a person thinks that it is indifference (9.3%, 7.4%, 3.8%, 6.2% and 5.7%) and unnecessary (3.6%, 4.4%, 2.5%,4.2% and 3.9%) in the minority, the majority of people believe that they need (51.1%, 52.9%, 57.2%, 55.6% and 55.3%), then the general (24.5%, 18.9%, 12.4%, 18.0% and 16.5%) and very necessary (11.5%, 16.4%, 24.1%, 16.0% and 18.6%). Among them, the occupation, retired or not, level of education, medical insurance form and different age groups had different cognition and demand level for health work. Conclusion To Strengthen the health training, to take specific health services according to different groups of people and to improve community health services are very important. Key words: Chronic disease; Community-based participatory research; Health