国家基本公共卫生服务项目居民知晓情况及影响因素研究  

Research on residents’awareness and influencing factors of national basic public health service program

作　　者：曾子莹 章鹰 李文翠 李璐[1] 胡杨木 范阳东[1] ZENG Ziying;ZHANG Ying;LI Wencui;LI Lu;HU Yangmu;FAN Yangdong(School of Health Management,Guangzhou Medical University,Guangzhou,Guangdong 511436,China)

机构地区：[1]广州医科大学卫生管理学院,广东广州511436

出　　处：《中国公共卫生管理》2024年第2期235-239,共5页Chinese Journal of Public Health Management

基　　金：广东省高校基于大数据利用的卫生健康治理哲学社会科学重点实验室(2023WSYS007);广东省哲学社会科学规划基金项目(GD22CYJ27);广东省教育厅继续教育质量提升工程项目(JXJYGC2021DY0231);广州市2020年卫生科技健康项目(2020A031006)。

摘　　要：目的调查国家基本公共卫生服务项目的居民知晓情况,分析其影响因素。方法采用配额抽样,于2021年、2022年对某地区2520名居民进行现场问卷调查,采用描述性分析、χ^(2)检验、多因素二元logistic回归分析数据。结果2021年、2022年总知晓率分别是74.8%、71.6%,差异无统计学意义(P<0.05)。2021年知晓率最高的项目是预防接种,为92.0%;2022年知晓率最高的项目是老年人健康管理,为83.2%。居民知晓途径主要为基层医疗卫生机构宣传栏和医生告知。人群类别、患慢性病、购买商业保险情况、接受服务情况是总知晓率的影响因素(P<0.05),老年人、待业/下岗居民的总知晓率较低。结论建议加强对待业/下岗、老年人的宣传教育,开展多渠道差异化的宣传,以改善居民的知晓情况。Objective To investigate the residents’awareness of the national basic public health service program and analyze its influencing factors.Methods Quota sampling was selected to conducton-site investigation on 2520 residents in 2021 and 2022,and data were analyzed using descriptive analysis,χ^(2) test,and multifactorial binary logistic regression.Results In 2021 and 2022,the total knowledge rate were 74.8% and 71.6% respectively,with no statistically significant difference(P<0.05).The highest knowledge rate in 2021 was for vaccination,at 92.0%;and the highest knowledge rate in 2022 was for health management for the elderly,at 83.2%.The main channels of awareness for the residents were the bulletin boards/notices of primary health care organizations and the information from doctors.The type of population,whether they had chronic diseases,purchased commercial insurance,and whether received services were the influencing factors of the total knowledge rate(P<0.05),and the total knowledge rate was lower for the elderly and the unemployed/laid-off residents.Conclusion It is recommended to strengthen the focus of publicity and education for the unemployed/laid-off and the elderly,and to carry out multi-channel differentiated publicity to improve the knowledge of the residents of the national basic public health service program.

关 键 词：国家基本公共卫生服务项目 知晓率 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]