健康档案建立对中青年流动人口慢性病患者健康管理服务利用的影响——以高血压和2型糖尿病为例  

The effect of the establishment of health records on the utilization of health management services for patients with chronic diseases in young and middle-aged floating population:a case study of hypertension and type 2 diabetes mellitus

作　　者：王楠 吴群红[1] 冯亚杰 张环宇 刘俊萍 刘智新 刘伟 梁立波[1] WANG Nan;WU Qun-hong;FENG Ya-jie;ZHANG Huan-yu;LIU Jun-ping;LIU Zhi-xin;LIU Wei;LIANG Li-bo(School of Health Management,Harbin Medical University,Harbin,Heilongjiang 150081,China)

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150081

出　　处：《现代预防医学》2024年第9期1630-1636,共7页Modern Preventive Medicine

基　　金：国家自然科学基金项目(71974049,71673073,72274047)。

摘　　要：目的了解中青年流动人口高血压和2型糖尿病患者建立健康档案对其接受健康管理服务的影响,为提高健康管理服务利用率,实现基本公共卫生服务均等化提供参考。方法基于2017年全国流动人口卫生计生动态监测数据中6391名30~59岁中青年慢性病患者人口特征、家庭特征、健康与公共服务特征资料,运用Probit模型及倾向得分匹配法分析健康档案对中青年流动人口高血压及2型糖尿病患者接受健康管理服务的影响。结果Probit模型结果显示,高血压患者、2型糖尿病患者及两病共患者建立健康档案的系数分别为0.940、0.905、1.333,且均在1%水平上显著,即建立健康档案对中青年流动人口慢性病患者接受健康管理服务有正向作用。纠正模型内生性问题后,这一结果仍然稳健。异质性分析发现建立健康档案对接受健康管理服务存在年龄、自评健康及健康教育差异。结论建立健康档案对中青年流动人口慢性病患者接受健康管理服务有正向影响。今后应关注中青年流动人口高血压和2型糖尿病患者的基本公共卫生服务需求,针对不同特征的患者开展健康教育宣传工作,提高基本公共卫生服务知晓率与使用率。Objective To understand the effect of establishing health records on the acceptance of health management services in young and middle-aged floating population with hypertension and type 2 diabetes,and to provide references for improving the utilization rate of health management services and realizing the equalization of basic public health services.Methods Based on the population characteristics,family characteristics,health and public service characteristics of 6391 young and middle-aged patients with chronic diseases aged 30 to 59 years old in 2017,Probit model and tendency score matching method were used to analyze the effect of health files on the acceptance of health management services in young and middle-aged floating population with hypertension and type 2 diabetes.Results The results of Probit model showed that the coefficients of establishing health records for hypertension patients,type 2 diabetes patients,and patients with both diseases were 0.940,0.905,and 1.333,respectively,and they were all significant at 1%level,indicating that the establishment of health records had a positive effect on the health management services of young and middle-aged floating population with chronic diseases.After correcting the endogenous problems of the model,the result remained robust.Heterogeneity analysis found that there were differences in age,self-rated health,and health education in the establishment of health records.Conclusion The establishment of health records has a positive impact on the acceptance of health management services for patients with chronic diseases in young and middle-aged floating population.In the future,we should pay attention to the basic public health service needs of patients with hypertension and type 2 diabetes in young and middle-aged floating population,carry out health education and publicity work for patients with different characteristics,and improve the awareness and utilization rate of basic public health services.

关 键 词：流动人口 中青年慢性病患者 健康档案 健康管理服务 

分 类 号：R197[医药卫生—卫生事业管理]