韶关市农村居民家庭医生签约服务知晓情况及影响因素  

Awareness of contract service of family doctors of rural residents in Shaoguan City and its influencing factors

作　　者：钟馨仪 卢韦任 林书帆 黄斯豪 潘思行 ZHONG Xinyi;LU Weiren;LIN Shufan;HUANG Sihao;PAN Sixing(Medical College,Shaoguan University,Guangdong Province,Shaoguan512005,China)

机构地区：[1]韶关学院医学院,广东韶关512005

出　　处：《中国当代医药》2025年第5期23-28,共6页China Modern Medicine

摘　　要：目的调查韶关市农村居民家庭医生签约服务的知晓情况并探讨其影响因素,为进一步提升家庭医生团队服务质量提供理论依据。方法采用简单随机抽样的方法,通过自制问卷,于2023年10月至12月对韶关市大塘路社区的455名常住的农村居民展开调查,统计其家庭医生签约服务的知晓情况,采用单因素分析与多因素logistic回归法分析其影响因素。结果单因素分析结果显示,不同年龄、是否患有慢性疾病的居民知晓家庭医生服务签约情况比较,差异有统计学意义(P<0.05)。多因素分析结果显示,年龄是农村居民家庭医生签约服务知晓情况的独立影响因素,30~60岁(β=-0.6913,OR=0.610,95%CI:0.356~1.045,P=0.003)和>60岁(β=0.8878,OR=2.957,95%CI:1.158~7.553,P=0.006)居民的家庭医生签约倾向性是30岁以下居民的0.610和2.957倍;有慢性病居民的家庭医生签约倾向性是无慢性病居民的1.682倍,但差异无统计学意义(P=0.059)。结论韶关市农村居民,以中青年群体对家庭医生签约服务的知晓率偏低,必须针对重点人群加大宣传力度、加快平台建设,才能不断提升家庭医生服务质量。Objective To investigate the awareness of rural residents of family doctor contracted service in Shaoguan City and explore its influencing factors,so as to provide theoretical basis for further improving the quality of family doctor team service.Methods Using the method of simple random sampling,a self-made questionnaire was used to investigate 455 permanent rural residents in Datang Road Community of Shaoguan City from October to December 2023 to calculate their awareness of family doctor contracted service.Single factor analysis and multivariate logistic regression were used to analyze its influencing factors.Results The results of univariate analysis showed that there were statistically significant differences in the awareness of family doctor service contract among residents of different ages and whether they had chronic diseases(P<0.05).The results of multivariate analysis showed that age was an independent influencing factor for rural residents'awareness of family doctor contracted services,30-60 years old(β=-0.6913,OR=0.610,95%CI:0.356-1.045,P=0.003)and residents over 60 years old(β=0.8878,OR=2.957,95%CI:1.158-7.553,P=0.006)were 0.610 and 2.957 times more likely to contract with family doctors than those under 30 years old.Residents with chronic diseases were 1.682 times more likely to contract with family doctors than those without chronic diseases,but the difference was not statistically significant(P=0.059).Conclusion Rural residents in Shaoguan City,especially the young and middle-aged group,have a low awareness rate of family doctor contracted services.It is necessary to increase publicity efforts for key groups and accelerate the construction of the platform,so as to improve the quality of family doctor services.

关 键 词：农村居民 家庭医生 知晓度 影响因素 

分 类 号：R197.62[医药卫生—卫生事业管理]