居民视角下山东省家庭医生签约服务现状分析  

Status quo of contracted family doctor services in Shandong province: from the perspective of residents

作　　者：张先福 陈作森[2] 王金萍 刘咪 吴学谦 王宇 翟强[1] 王春平[1,4] ZHANG Xian-fu;CHEN Zuo-sen;WANG Jin-ping(Department of Preventive Medicine,Weifang Medical College,Weifang,Shandong Province 261000,China;不详)

机构地区：[1]潍坊医学院预防医学教研室,山东潍坊261000 [2]潍坊市疾病预防控制中心慢病科,山东潍坊261000 [3]潍坊市潍城区社区卫生服务中心,山东潍坊261000 [4]健康山东重大社会风险预测与治理协同创新中心

出　　处：《中国公共卫生》2020年第7期1047-1050,共4页Chinese Journal of Public Health

基　　金：山东省自然科学基金(ZR014GL13);"健康山东"重大社会风险预测与治理协同创新中心重点研究项目(XT1406001)。

摘　　要：目的分析比较山东省城乡居民对于家庭医生签约服务认知与利用情况的差异性。方法于2017年以山东省为研究现场,采用多阶段分层抽样方法,共随机抽取1200名社区居民为调查对象。根据研究目的、文献梳理和专家咨询等设计问卷;采用调查员面对面访问收集资料;采用Epi Data 3.1建立数据库。采用SPSS 17.0统计软件进行数据清洗和分析。结果共回收1052份有效问卷,城市居民对家庭医生签约服务的知晓率(70.3%)低于农村(92.1%),完全不了解家庭医生签约服务的内容有城市社区居民(93人,30.4%)高于农村(77人,10.3%),城市居民在首诊选择社区卫生服务机构(46.7%)、上门服务(63.7%)、随访电话(62.4%)的利用也分别低于农村(85.8%,88.2%,77.6%),差异均有统计学意义(P<0.05)。结论城市居民对家庭医生签约服务的认知和利用程度低于农村居民,具有一定的差异性。Objective To explore the situation on recognition and utilization of contracted family doctor services among residents in Shandong province and to compare differences in the recognition and utilization between urban and rural residents.Methods With stratified multi-stage random sampling,we conducted face-to-face interviews among 1200 residents aged 18 years and above in urban communities or rural villages in three municipalities of Shandong province in2017.We compiled a questionnaire for the survey based literature review and expert consultation.Epi Data 3.1 and SPSS17.0 statistical software were adopted in data processing and analyses.Results A total of 1052 valid questionnaires were collected.Compared to that among the rural residents,the awareness rate of contracted family doctor service was lower among the urban residents(70.3%vs.92.1%)but the proportion of knowing nothing about the items of the services was higher among the urban residents than that of rural residents(30.4%[93 people]vs.10.3%[77 people]).The urban residents also reported significantly lower ratios of selecting community healthcare institutions when visiting a doctor at first(46.7%vs.85.8%),utilizing on-site service(63.7%vs.88.2%),and receiving telephone follow-up(62.4%vs.77.6%)in comparison to the rural residents(P<0.05 for all).Conclusion The awareness and utilization of contracted family doctor service are lower among urban residents than those among rural residents in Shandong province.

关 键 词：家庭医生签约服务 认知 卫生服务利用 

分 类 号：R19[医药卫生—卫生事业管理]