济宁市任城区居民基层首诊意愿及影响因素分析  

Residents’willingness to seek initial treatment at the grassroots health institutions in Rencheng District,Jining City and its influencing factors

作　　者：田壮[1] 翟敏[1] 唐文菲 TIAN Zhuang;ZHAI Min;TANG Wenfei(School of Public Health,Jining Medical University,Jining,Shandong 272013,China;Jining Zhonghe Community Health Service Center,Jining,Shandong 272000,China)

机构地区：[1]济宁医学院公共卫生学院,山东济宁272013 [2]济宁众和社区卫生服务中心,山东济宁272000

出　　处：《中国农村卫生事业管理》2020年第10期697-699,705,共4页Chinese Rural Health Service Administration

基　　金：2020年度济宁市哲学社会科学规划项目(20JSGX018)。

摘　　要：目的了解济宁市任城区居民基层首诊意愿及影响因素。方法采用方便抽样方法,基于自行设计的结构式调查问卷展开面对面询问调查,收集到有效问卷242份。采用χ2检验、Logistic回归分析居民基层首诊意愿影响因素。结果济宁市任城区发生常见病时,居民基层首诊意愿为69.0%,其中城镇居民基层首诊意愿为45.8%,农村为91.7%。多因素分析显示,仅文化程度、慢性病家族史对基层首诊意愿有影响(P<0.05)。结论医保政策在增强基层首诊吸引力方面尚未充分发挥作用。可抓住健康扶贫、医联体建设的契机,提升基层服务能力,关注医疗服务的连续性,增强基层卫生服务对文化程度较高人群的吸引。为更多更好地留住慢性病人群在基层,可实施以加强慢性病人群医疗卫生服务为重点的基层就医引导策略。Objective To know about the willingness of residents to seek initial treatment at the grassroots institutions in Rencheng District,Jining City and its influencing factors.Methods A convenient sampling method was used to conduct a face-to-face inquiry survey based on a self-designed structured questionnaire,and 242 valid questionnaires were collected.Chi-Square test and logistic regression were used to analyze the influencing factors of the residents’initial treatment willingness.Results When residents develop common diseases,their willingness for initial treatment at the grassroots institutions was 69.0%.It was 45.8%for the urban residents and 91.7%for the rural residents.Multivariate analysis showed that only education level and family history of chronic diseases had an effect on the willingness for the initial treatment at the grassroots institutions(P<0.05).Conclusions The medical insurance policy has not yet fully played its role in enhancing the attractiveness of the initial treatment at the grassroots institutions.We can seize the opportunity of health poverty alleviation and the construction of health alliance,improve the service capacity of the grassroots institutions,focus on the continuity of medical services,and enhance the attraction of grassroots health service among people with higher education level.In order to retain more chronic disease patients at the grassroots institutions,a grassroots medical guidance strategy can be implemented which focuses on strengthening medical services for chronic disease patients.

关 键 词：基层首诊 意愿 分级诊疗 

分 类 号：R197[医药卫生—卫生事业管理]