重庆市慢病管理系统中2型糖尿病患者就诊倾向及影响因素分析

发布时间：2018-04-29 15:34

本文选题：型糖尿病 + 就诊倾向　；参考：《复旦学报(医学版)》2017年02期

【摘要】：目的了解重庆市慢病管理系统中2型糖尿病患者就诊倾向及其影响因素。方法采用多阶段整群随机抽样调查患者的基本信息、过去一年与糖尿病有关的就诊情况,包括首选就诊医疗机构、选择该机构的原因等。以社区就诊为参照,利用多分类Logistic回归模型计算相对危险度比值(relative risk ratio,RRR)及其影响因素。结果调查前一年内,2型糖尿病患者中有38.02%倾向县级以上医院就诊,有36.78%倾向药房/诊所就诊,有25.21%倾向社区就诊。单因素分析结果表明,不同受教育程度、家庭年人均收入水平、医保类型、治疗方式的人群就诊倾向存在差异。多分类Logistic回归结果表明,受教育程度较高(RRR=2.39,95%CI:1.20~4.78)、收入水平高(RRR=3.37,95%CI:1.44~7.88)、申请到门诊特殊疾病医疗保险(RRR=3.32,95%CI:1.72~6.42)、同时采用胰岛素和口服降糖药(RRR=5.02,95%CI:1.15~22.00)的被调查者更倾向于在县级以上医院就诊,而不是利用社区卫生服务。结论重庆市2型糖尿病患者倾向于在县级以上医院就诊。2型糖尿病作为慢性非传染性疾病中的重要病种,患者主体尚未转移到社区接受服务。
[Abstract]:Objective to investigate the visiting tendency and influencing factors of type 2 diabetes mellitus in chronic disease management system in Chongqing. Methods the basic information of patients with diabetes mellitus was investigated by multi-stage cluster random sampling, including the first choice of medical institutions and the reasons for selecting them. The relative risk relative risk ratio (RRR) and its influencing factors were calculated by using multi-classification Logistic regression model. Results in the previous year, 38.02% of the patients with type 2 diabetes tended to seek medical treatment in hospitals above county level, 36.78% in pharmacies / clinics and 25.21% in communities. Univariate analysis showed that there were differences among different education levels, family annual income level, type of medical insurance and treatment. The results of multi-classification Logistic regression showed that those with a higher education level, with a higher level of education, with a higher education level of 2.39% or 95% CI1: 1.20 / 4.78, with a high income level of 3.3795%, CI1: 1.447.88, apply for medical insurance for outpatient special diseases, and apply for medical insurance for outpatient special diseases, RRRN 3.3295 / 95: 1.726.42%, and those who also use insulin and oral hypoglycemic drug RRRU 5.0295 CI$ 1.15-22.00 are more likely to see a doctor at a hospital above the county level. Instead of using community health services. Conclusion Type 2 diabetes patients in Chongqing tend to visit hospitals above county level as an important disease of chronic non-communicable diseases, but the main body of patients has not been transferred to the community to receive services.
【作者单位】：重庆医科大学公共卫生与管理学院流行病学教研室-医学与社会发展研究中心-健康领域社会风险预测治理协同创新中心;重庆市疾病预防控制中心慢性非传染性疾病预防控制所;美国杜克大学全球健康研究所;
【基金】：美国杜克大学国际合作项目(X7383) 重庆市卫生计生委面上项目(20142111)~~
【分类号】：R587.1

【相似文献】