糖尿病患者对家庭医生签约服务的满意度及其影响因素分析  

Satisfaction and its influencing factors of diabetic patients to family doctor contract services

作　　者：刘丹丹 秦敬柱[2] 王海鹏 宋奎勐 LIU Dan-dan;QIN Jing-zhu;WANG Hai-peng;SONG Kui-meng(School of Health Care Security,Shandong First Medical University,Jinan,Shandong 250117,China;不详)

机构地区：[1]山东第一医科大学(山东省医学科学院)医疗保障学院,山东济南250117 [2]青岛市市立医院院长办公室 [3]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心

出　　处：《现代预防医学》2024年第8期1435-1440,共6页Modern Preventive Medicine

基　　金：国家自然科学基金(71503150)。

摘　　要：目的 了解糖尿病患者对家庭医生签约服务的满意度及其影响因素,为进一步完善糖尿病患者家庭医生签约服务提供依据。方法 2019年8—9月采用多阶段分层随机抽样方法对山东省三个地市的糖尿病患者进行问卷调查,最终纳入514例已签约家庭医生服务的糖尿病患者为研究对象。采用描述性分析、χ^(2)检验、logistic回归分析研究糖尿病患者对家庭医生签约服务满意度及其影响因素。结果 糖尿病患者的家庭医生签约服务满意度为71.8%。年龄(χ^(2)=7.025,P=0.030)、对家庭医生的熟悉程度(χ^(2)=13.227,P<0.001)、签约后个人生活习惯变化(χ^(2)=15.217,P<0.001)、诊疗费用变化(χ^(2)=4.904,P=0.027)、就诊便利性变化(χ^(2)=16.578,P<0.001)、候诊时间变化(χ^(2)=9.155,P=0.002)等因素会影响糖尿病患者对家庭医生签约服务的满意度。多因素logistic回归结果显示,家庭年收入较高(OR=2.321,95%CI:1.298~4.148)、知道家庭医生姓名(OR=1.804,95%CI:1.041~3.126)、认为签约后个人生活习惯改善(OR=1.903,95%CI:1.081~3.350)、就诊更便利(OR=1.741,95%CI:1.037~2.920)的糖尿病患者对家庭医生签约服务更满意。结论 山东省糖尿病患者对家庭医生签约服务的总体满意度较高。建议重点针对低收入、老年糖尿病患者采取措施优化签约服务,并进一步加强家庭医生与患者之间的联系,重点引导患者形成健康的生活习惯,改善就诊便利性。Objective To understand the satisfaction of diabetic patients to family doctor contract services and its influencing factors,and to provide evidence for further improving the contract services of family doctors for diabetic patients.Methods From August to September 2019,a total of 514 diabetic patients who had been contracted by their family doctors were investigated using a multi-stage stratified random sampling method in three cities of Shandong province.Descriptive analysis,chi-squared test and logistic regression analysis were used to study the degree of satisfaction with contracted services and its influencing factors.Results 71.8%diabetic patients were satisfied with family doctor contract services.Age(χ^(2)=7.025,P=0.030),familiarity with family doctor(χ^(2)=13.227,P<0.001),change of life habit(χ^(2)=15.217,P<0.001),change of medical cost(χ^(2)=4.904,P=0.027),changes in convenience of medical treatment(χ^(2)=16.578,P<0.001),change of waiting time(χ^(2)=9.155,P=0.002),and other factors will affect the satisfaction of diabetes patients with the services signed by family doctors.Multivariate logistic regression results showed that diabetes patients with higher annual family income(OR=2.321,95%CI:1.298-4.148),knew their family doctor's name(OR=1.804,95%CI:1.041-3.126),believed that their living habits improved after signing the contract(OR=1.903,95%CI:1.081-3.350),and had more convenient medical consultation(OR=1.741,95%CI:1.037-2.920)were more satisfied with the service of signing the contract.Conclusion The overall satisfaction of diabetic patients to family doctor contract services in Shandong province is relatively high,but there is still room for further improvement.It is suggested that measures should be taken to optimize the contracting services for low-income and elderly diabetic patients,and the contact between family doctors and patients should be further strengthened.Emphasis should be placed on guiding patients to form healthy behaviour,and improving the convenience of healthcare in order to

关 键 词：家庭医生签约服务 糖尿病患者 满意度 影响因素 

分 类 号：R587.1[医药卫生—内分泌]