家长对小学生家庭医生签约服务的需求及意愿研究  

Investigation on the Demand and Willingness of Elementary Students Signing a Health Service Contract with the Family Doctor:Perspectives from Parents

作　　者：钟艳熙 王俊舟 ZHONG Yanxi;WANG Junzhou(Jinhuaqiao Community Health Service Center,Wuhou District,Chengdu 610041,China)

机构地区：[1]四川省成都市武侯区金花桥社区卫生服务中心,610041

出　　处：《中国全科医学》2021年第16期2051-2056,2061,共7页Chinese General Practice

摘　　要：背景成都市武侯区自2011年以来大力开展家庭医生签约服务并取得一定成效,但尚缺乏针对小学生的家庭医生签约服务,了解我区小学生家长的家庭医生签约服务需求和签约意愿及其影响因素,有利于进一步扩大家庭医生的服务范围和覆盖率。目的了解武侯区小学生家长对于小学生家庭医生签约服务的需求,评估小学生家庭医生签约服务意愿,探讨影响小学生家庭医生签约服务的影响因素,为进一步开展小学生家长家庭医生签约服务工作提供建议。方法随机抽取成都市武侯区3所小学,并于2019年9-12月采用问卷调查的方式,对被抽取的3所小学的所有符合条件的小学生家长进行横断面调查,调查的主要内容为家长基本情况、签约服务需求及签约意愿。向2991例小学生家长发放问卷,回收有效问卷2988份,问卷有效率为99.90%。结果55.29%(1652/2988)小学生家长为一到三年级小学生的家长。544例(18.20%)家长签约家庭医生后最希望孩子可以享受健康教育服务,424例(14.19%)家长最希望孩子接受视力保健知识方面的健康教育服务;从小学生疾病诊疗需求角度,463例(15.50%)家长最希望家庭医生能联系口腔科专科资源;753例(25.20%)家长认为小学生签约家庭医生最大的优势是可及性好。2293例(76.74%)小学生家长有意愿为孩子签约家庭服务,不同小学生所处年级、家庭平均年收入、家庭成员最高文化程度、被调查家长职业、是否知道最近的社区卫生服务中心(站)的具体位置和是否听过或者接受过家庭医生签约服务的小学生家长的签约意愿比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,影响小学生家长为孩子签订家庭医生签约服务的因素主要为小学生所处年级、家庭平均年收入、家庭成员最高文化程度、被调查家长职业和是否听过或者接受过庭医生签约服务(P<0.05)。结论成�Background Chengdu Wuhou District of Chengdu City has vigorously carried out family doctor contract service with community health service center since 2012 and achieved effective results,but there is no family doctor contract service for elementary students at present.Find out the demand and willingness of elementary students'families for family doctor contract service and the influencing factors will be conducive to further expanding the service scope and coverage rate of family doctor service.Objective Find out the demand of families for elementary students'family doctor contract service,to evaluate the willingness to receive the service,and to explore the influencing factors to sign a health contract,and based on this,to put constructive suggestions for the further development of elementary students'family doctor contract service.Methods Three primary schools in Wuhou District of Chengdu were randomly selected,and the parents of all qualified primary school students were investigated by questionnaire from September to December 2019.The self-designed questionnaires mainly included the basic characteristics of parents or families,demand for health services and the willingness to sign a contract of family doctor health service.2988 effective questionnaires were collected from 2991 parenets,with an effective rate of 99.90%.Results 55.29%(1652/2988)of parents were the first grade to third grade elementary students'parents,and 41.57%(1242/2988)family members with the highest educational level were bachelor degree or associate degree 544(18.20%)parents most wanted their children to enjoy health education services after signing family doctor contract;424(14.19%)parents most wanted their children to receive health education services on vision care knowledge;463(15.50%)parents most wanted family doctor to contact stomatology specialist resources from the perspective of primary school students'disease diagnosis and treatment needs;753(25.20%)parents thought that primary school students should sign family doctor contract

关 键 词：家庭医生签约服务 中小学生卫生保健服务 签约意愿 影响因素分析 

分 类 号：R197[医药卫生—卫生事业管理]