科创承载型功能社区家庭医生服务需求及其影响因素研究  

Needs of Family Doctor Services and Associated Factors in Functional Communities Bearing Science Innovation

作　　者：梅立辰 汤真清 章悦 钟姮 汪澜 徐蔚琦[6] 俞双燕[1] 何江江[2] MEI Lichen;TANG Zhenqing;ZHANG Yue;ZHONG Heng;WANG Lan;XU Weiqi;YU Shuangyan;HE Jiangjiang(School of Economics and Management,Jiangxi University of Chinese Medicine,Nanchang 330000,China;Shanghai Health Development Research Center/Shanghai Institute of Medical Science and Technology Information,Shanghai 200040,China;Shanghai Jiangnan Shipyard(Group)Co.,Ltd.Workers Hospital,Shanghai 200011,China;Department of Primary Health,Shanghai Municipal Health Commission,Shanghai 200125,China;Shanghai Xuhui District Health Commission,Shanghai 200030,China;Shanghai Xuhui District Center for Disease Control and Prevention,Shanghai 200030,China)

机构地区：[1]江西中医药大学经济与管理学院,江西省南昌市330000 [2]上海市卫生和健康发展研究中心上海市医学科学技术情报研究所,200040 [3]上海江南造船集团职工医院,上海市200011 [4]上海市卫生健康委员会基层卫生健康处,200125 [5]上海市徐汇区卫生健康委员会,200030 [6]上海市徐汇区疾病预防控制中心,200030

出　　处：《中国全科医学》2021年第22期2793-2799,共7页Chinese General Practice

基　　金：上海市卫生健康委员会卫生政策定向委托项目(2019HP21)——促进本市功能社区家庭医生服务发展的政策研究。

摘　　要：背景上海市作为国家科技创新中心重要承载区,除了满足创新创业的政策支持、创业环境、资金投入等需求外,满足各类人才在健康保健等方面的延伸需求对于促进“产城融合”至关重要。发展功能社区卫生服务是完善功能配套、促进“产城融合”的关键环节,但当前功能社区服务存在短板,无法为“产城融合”提供支撑,亟须突破。目的 分析科创承载型功能社区人群多样化的健康服务需求,并为家庭医生健康服务在功能社区的拓展提供建议。方法 2019年3—11月,通过对上海市科创承载型功能社区进行分层随机抽样调查,共发放1 500份问卷,获得功能社区人群基本情况及生活方式、心理健康状况、卫生服务需求与利用等相关数据,了解功能社区人群的健康状况、卫生服务需求与利用情况,并分析功能社区家庭医生服务需求的影响因素;并参考文献研究结果,对比与其他类型功能社区人群的主要健康问题与卫生服务需求的差异。结果 共回收有效问卷1 487份(99.13%),其中调查对象两周患病率〔5.92%(88/1 487)〕、慢性病患病率〔5.98%(89/1 487)〕较低;功能社区人群健康服务主观需求主要是常见疾病处理(1 251人,84.13%)、健康管理(858人,57.70%)、健康体检(699人,47.01%)、健康咨询(586人,39.41%)、心理咨询(470人,31.61%)。功能社区人群家庭医生签约服务知晓率为57.03%(848/1 487),45.73%(680/1 487)有签约意愿,且性别、年龄、文化程度、自我感觉健康状况、慢性病患病情况对家庭医生签约意愿产生影响(P<0.05);就诊意愿调查中,患病后想去的卫生机构前3位分别是市级医院(620人,41.69%)、区级医院(404人,27.17%)、门诊部(所)/卫生室/卫生服务站(153人,10.29%),其中质量(734人,25.41%)、距离(732人,25.34%)和有可信赖的医生(391人,13.48%)是主要影响因素;卫生服务实际利用情况与就诊意愿基本一致。结论在科创承Background For Shanghai,an important bearing area of the National Science and Technology Innovation Center,Shanghai,it is essential to meet the extended needs of various talents in healthcare and other aspects to promote the industry-city integration besides meeting the needs of policy support for innovation and entrepreneurship,entrepreneurial environment,capital investment,etc.The development of functional community health services is a key link to improve functional facilities and promote the industry-city integration.However,the current functional community services are limited and cannot provide support for the integration,and need a breakthrough urgently.Objective To analyze the diversified health service needs of people in functional communities bearing science innovation,providing suggestions for the expansion of family doctor services in functional communities.Methods Data were collected through a stratified cluster sampling survey carried out with 1500 individuals selected from Shanghai's functional communities bearing science innovation from March to November 2019 using a self-developed questionnaire,including general demographic information,lifestyle,mental health status,health service demand and utilization.The health status,health service demand and utilization were analyzed,and factors associated with health service demand were explored.Then the health problems and health service demand in this population were compared to those of populations in other types of functional communities reported in other studies.Results A total of 1487 cases(99.13%)who returned responsive questionnaires were finally included.The two-week morbidity〔5.92%(88/1487)〕and chronic disease prevalence〔5.98%(89/1487)〕were relatively low.The subjective health service needs in functional communities were mainly common disease treatment〔84.13%(1251/1487)〕,health management〔57.70%(858/1487)〕,physical examination〔47.01%(699/1487)〕,health consultation〔39.41%(586/1487)〕,psychological consultation〔31.61%(470/14

关 键 词：功能社区 家庭医生签约服务 健康服务需求 科创承载区 

分 类 号：R197[医药卫生—卫生事业管理]