成都市社区居民对口腔家庭医生服务模式签约意愿及其影响因素分析  

Analysis of the willingness of community residents of Chengdu city to participate in various modes of family dental services and the factors influencing their decision

作　　者：孙国芳 吴侃 胡涛[1] 包崇云[3] 钟亦思[4] 尹伟[1] Sun Guofang;Wu Kan;Hu Tao;Bao Chongyun;Zhong Yisi;Yin Wei(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Preventive Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Medical Affairs,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Oral and Maxillofacial Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of General and Emergency Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院口腔预防科,成都610041 [2]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院医务部,成都610041 [3]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院口腔颌面外科,成都610041 [4]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院口腔全科及急诊科,成都610041

出　　处：《华西口腔医学杂志》2022年第1期80-85,共6页West China Journal of Stomatology

基　　金：四川大学华西口腔医院探索与研发项目(RD-01-202001);国家重点研发计划(2020YFC2009005);成都市重大科技应用示范项目(2019-YF09-00109-SN)。

摘　　要：目的对成都市推行口腔家庭医生服务模式进行调查,分析社区居民对口腔家庭医生服务模式的签约意愿及其影响因素。方法于2020年9—10月采用多阶段分层抽样法,在成都市9个社区内进行问卷调查,调查内容包括社会人口学特征、是否愿意签约口腔家庭医生服务及其口腔健康认知和行为。结果共收回有效问卷1227份,其中24.78%的社区居民有意愿签约口腔家庭医生服务。二元Logistic回归分析显示影响居民签约口腔家庭医生服务模式的因素有年龄(OR=0.571,P<0.05)、医疗保险类型(OR=1.534,P<0.05)、口腔健康知识水平(OR=1.363,P<0.05)和口腔健康行为[包括每日刷牙次数(OR=1.464,P<0.05)和口腔就医频率(OR=1.780、2.174,P<0.05)]。结论成都市社区居民对口腔家庭医生签约服务的需求有待提高;对于口腔家庭医生服务模式,中青年表现出积极性,医保和健康素养是影响居民签约意愿的主要因素;建议加大宣传力度,提升群众口腔健康意识,促进口腔家庭医生服务模式发展。Objective To determine the various modes of family dental services available in Chengdu city,China and to analyze the willingness of community residents to sign the contract for these services and the factors influencing their decision to do so.Methods From September 2020 to October 2020,nine communities in Chengdu city were sampled via stratified multiple-stage random sampling and surveyed by sending questionnaires.The questionnaire sought to gather information on the residents’sociodemographic characteristics,their intention to participate in family dental services,and determine their knowledge of oral health cognition and behavior.Results A total of 1227 valid questionnaires were collected.Among the community residents surveyed,24.78%stated that they were willing to participate in family dental services.Binary logistic regression analysis revealed that the factors affecting the residents’willingness to participate in various modes of family dental services were age(OR=0.571,P<0.05),type of medical insurance(OR=1.534,P<0.05),level of oral health knowledge(OR=1.363,P<0.05),oral health behavior[including the number of time they brush their teeth(OR=1.464,P<0.05),and the frequency of seeking oral medical treatment(OR=1.780,2.174,P<0.05)].Conclusion The demand of community residents for the family dental services needs to be improved.Young and middle-aged people showed more enthusiasm than older adults to seek family dental services.The type of medical insurance they have and the level of their health literacy were the primary factors that influence their decision to seek such services.Information and education campaigns on oral health should be strengthened to enhance the public’s knowledge of this important aspect of hygiene and overall health and promote the development of various modes of family dental services.

关 键 词：口腔家庭医生 社区居民 参与意愿 影响因素 

分 类 号：R780.1[医药卫生—口腔医学]