徐州市社区居民分级诊疗制度知晓情况及影响因素研究

发布时间：2018-04-09 21:34

本文选题：分级诊疗　切入点：市区人口　出处：《中国全科医学》2017年25期

【摘要】：目的了解徐州市社区居民对分级诊疗制度的知晓情况并探讨其影响因素,为促进分级诊疗制度的实施与推广提供建议。方法于2016年7—8月,采用多阶段分层随机抽样法,在徐州市3个区县抽取社区居民750例。采用本课题组自行设计的结构式问卷对纳入居民进行调查,主要内容包括社区居民的基本信息、对分级诊疗制度的知晓情况。共发放问卷750份,有效回收710份,问卷的有效回收率为94.7%。结果 710例社区居民中,349例知晓分级诊疗制度,知晓率为49.2%,主要知晓途径为报纸、电视、网络等媒体(54.1%,189/349)。不同性别、年龄、文化程度、去年平均月收入、自评健康状况、去年医疗费用、步行至最近社区卫生服务机构时间及是否患慢性病、是否有社区卫生服务机构就诊经历社区居民的分级诊疗制度知晓率比较,差异有统计学意义(P0.05);不同职业、婚姻状况、医疗保险类型及是否有健康体检经历社区居民的分级诊疗制度知晓率比较,差异无统计学意义(P0.05)。多因素Logistic回归分析结果显示,性别、文化程度、自评健康状况、步行至最近社区卫生服务机构时间及是否有社区卫生服务机构就诊经历是社区居民对分级诊疗制度知晓情况的影响因素(P0.05)。结论徐州市社区居民的分级诊疗制度知晓率仍有待提高,性别、文化程度、自评健康状况、步行至最近社区卫生服务机构时间及是否有社区卫生服务机构就诊经历是社区居民对分级诊疗制度知晓情况的影响因素。建议卫生行政部门发挥"互联网+"、APP、公益广告等新传媒和传统宣教的力量,加大宣传力度,引导居民合理就医。
[Abstract]:Objective to understand the knowledge of the classified diagnosis and treatment system among the community residents in Xuzhou City and to explore its influencing factors so as to provide suggestions for promoting the implementation and popularization of the graded diagnosis and treatment system.Methods from July to August, 2016, 750 community residents were sampled from three districts and counties of Xuzhou by multi-stage stratified random sampling.A structured questionnaire designed by our research group was used to investigate the residents. The main contents include the basic information of the community residents and the knowledge of the classified diagnosis and treatment system.A total of 750 questionnaires were distributed and 710 were effectively recovered. The effective recovery rate of the questionnaires was 94.7.Results 349 out of 710 community residents knew the classified diagnosis and treatment system, the awareness rate was 49.2%, the main way of knowing was newspaper, television, network and other media.Gender, age, education, average monthly income last year, self-rated health status, last year's medical expenses, walking to the nearest community health service and chronic disease,There is a significant difference in the awareness rate of the hierarchical diagnosis and treatment system among community residents whether there is a community health service organization. There is a significant difference between them (P 0.05); different occupations, marital status,There was no significant difference in the awareness rate of the classified diagnosis and treatment system between the residents of the community and the type of medical insurance and whether or not they had a healthy physical examination (P0.05%).The results of multivariate Logistic regression analysis showed that gender, education level, self-assessment of health status,The time of walking to the nearest community health service organization and whether or not there is a community health service organization visit experience is the influence factor of the community residents' knowledge of the classified diagnosis and treatment system (P 0.05).Conclusion the awareness rate of the classified diagnosis and treatment system of community residents in Xuzhou should be improved, gender, education level, self-assessment of health status should be improved.The time of walking to the nearest community health service organization and whether or not the community health service has the experience of seeing a doctor are the influencing factors of the community residents' knowledge of the classified diagnosis and treatment system.It is suggested that the administrative department of health should give full play to the power of new media and traditional propaganda such as "Internet" app and public service advertisement, strengthen propaganda and guide residents to seek medical treatment reasonably.
【作者单位】：苏州大学医学部公共卫生学院;徐州医科大学卫生政策与健康管理研究中心;
【基金】：2014年度教育部人文社科项目(14YJC880046) 2015年江苏省社科基金项目(15GLB012) 2014年度江苏高校哲学社会科学研究项目(2014SJB415)
【分类号】：R197.1

【相似文献】