健康教育对农民参加新型农村合作医疗意愿的影响  

Effect of health education on farmers' intention of joining in the new rural cooperative medical system

作　　者：史宇晖[1] 陈磊[2] 房洪军[3] 孙玮[3] 常春[1] 

机构地区：[1]北京大学公共卫生学院社会医学与健康教育学系,北京100191 [2]北京大学医学部教育处 [3]北京大学第一医院

出　　处：《北京大学学报（医学版）》2010年第3期275-278,共4页Journal of Peking University:Health Sciences

基　　金：卫生部委托项目资助~~

摘　　要：目的:以健康信念模式为理论依据,对河南、吉林两省新型农村合作医疗(新农合)试点地区居民实施健康教育干预活动,评价健康教育对于促进农村居民参加新农合及参加意愿的作用。方法:采用类实验研究,在干预前进行需求评估,然后按照循证决策原理,对河南、吉林省干预县农民开展为期半年的干预活动,对照县不进行干预,并进行干预后调查,通过比较干预县、对照县的变化评价健康教育效果。结果:实施健康教育干预后,两干预县农村居民的合作医疗政策知识得分明显提高,提高幅度分别达到29.0%和37.8%,感知疾病威胁和感知参加新农合障碍的得分较干预前均有所下降,而感知参加新农合益处得分则得到提高。同时,两县农村居民的参加新农合意愿较干预前有了明显的提高。结论:健康教育方法有效、可行,在提高农民合作医疗认知的基础上,对其参加合作医疗的意愿产生了积极的作用。Objective：To evaluate the impact of health education intervention on promoting rural residents to join new rural cooperative medical system（NCMS）and their intention of joining NCMS based on Health Belief Model in project areas in Henan and Jilin Provinces.Methods：Quasi-experiment study was used to evaluate intervention impact.Following the evidence-based approach,according to needs assessment,a half-year health education intervention was implemented among farmers in the experimental counties in Henan and Jilin Provinces respectively.A questionnaire survey was conducted among farmers in intervention and control counties before and after intervention,and intervention impact was evaluated by comparing the indicators＇ changes in intervention and control counties.Results：After health education intervention,the knowledge level of farmers in two intervention counties increased by 29.0% and 37.8% respectively,their scores of perceived threatens of health risk and perceived barriers of joining NCMS among the respondents were decreased.Meanwhile,their score of perceived benefit of joining NCMS were increased,and the rate of willingness to join NCMS increased remarkably in both intervention counties.Conclusion：Health education was effective and helpful in increasing farmer＇s knowledge,understanding and cognitive level of NCMS,and it should play an important role for the sustainable development of NCMS.

关 键 词：健康教育 农村卫生 初级卫生保健 干预性研究 

分 类 号：R161[医药卫生—公共卫生与预防医学]