Objective: To investigate the status of cognition and overuse of primary healthcare for Macau residents. Method: A cross-sectional study, targeted on general physicians from 6 governmental health centers, and 100 questionnaires were sent out. Result: In cognition of primary healthcare services, 63.3% respondents considered that Macau residents were clear for service items, and 67.7% and 95.7% respondents believed locations and free-of-charge also be clear; In aspect of overuse, higher percentage was presented, 72.1% respondents considered overall evaluation were critical, 95.7% highlighted free-of-charge caused of overuse, and more than 90% pointed out that overuse of healthcare should cause of waiting list prolonging and manpower problem. Conclusion: For primary healthcare, Macau residents showed high level of cognition relatively, but simultaneously overuse problem should be considered.

目的：調查澳門市民對初級衛生保健的認知程度，以及市民在使用該服務時 的濫用情況。方法：橫斷面研究，以問卷形式訪問澳門 6 個衛生中心的全科醫生， 共發出 100 份問卷，再對問卷資料進行描述性統計。結果：認知方面，60.3％受 訪醫生認為市民瞭解初級衛生保健的服務內容，67.7％認為市民瞭解服務地點， 94.6％認為市民瞭解該服務是免費的。而濫用方面，72.1％受訪者認為市民濫用 初級保健服務的情況嚴重，95.7%受訪者認為免費是濫用該服務的原因，超過 90 ％受訪醫生認為濫用該服務可導致輪候時間延長與醫護人力資源緊張。結論：澳 門市民對初級保健的整體內容有較高的認知程度，同時，市民對該服務的濫用情 況也相對嚴重，部分項目較為突出。