我国居民家庭病床服务利用意愿率及相关因素的meta分析  

A Meta-analysis of the Willingness Rate of Family Bed Services Utilization and Related Factors in Chinese Residents

作　　者：刘亚清 杜思娴[1] 胡子健 牛浩然 姜峰 龚丽雯 LIU Yaqing(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]华中科技大学文科双一流建设重大学科平台(医院高质量发展研究中心),湖北武汉430030

出　　处：《医学与社会》2025年第4期66-74,共9页Medicine and Society

基　　金：国家重点研发计划项目,编号为2020YFC2006000;教育部人文社会科学研究规划基金项目资助(个性化健康需求下的慢病防控服务协同机制及其改善策略研究,21YJA630062);华中科技大学大学生创新创业训练计划项目,编号为X202310487021。

摘　　要：目的:分析我国居民家庭病床服务利用意愿率及相关因素,为制定针对性的家庭病床服务策略提供参考。方法:在中国知网、万方、PubMed等数据库,检索自建库至2023年12月31日公开发表的关于我国居民家庭病床服务利用意愿率的研究。利用Stata 16.0对我国居民家庭病床服务利用意愿率及亚组进行meta分析。结果:纳入横断面研究21篇,总样本量为25457,我国居民家庭病床服务利用意愿率为64.97%。男性(65.34%)居民家庭病床服务利用意愿率高于女性(61.48%),年龄60岁以上(68.82%)、无配偶(69.63%)、非独居(65.14%)、月收入≥2000元(62.94%)、有基本医疗保险(58.41%)的居民服务利用意愿率较高。患有慢性病(66.33%)与日常生活能力严重障碍(68.13%)的居民服务利用意愿率高于未患慢性病者(57.03%)与无障碍者(42.84%)。此外,了解过(80.45%)或使用过(85.80%)家庭病床服务的居民利用意愿率较高。结论:我国居民家庭病床服务利用意愿率呈增长趋势,服务利用意愿率的相关因素主要包括年龄、收入水平、有无基本医疗保险等。患有慢性病、生活能力严重障碍、了解和使用过家庭病床服务的居民服务利用意愿率更高。应根据居民实际需求,提供个体化服务,引导慢性病患者或失能老年人等群体主动了解与利用服务,推动我国居家健康服务体系完善。Objective:To analyze the willingness rate of utilizing family bed services among Chinese residents and related factors,so as to provide references for the development of targeted family bed service strategies.Methods:In databases such as CNKI,Wanfang and PubMed,relevant studies on the willingness rate of utilization of family bed services among Chinese residents published publicly from the establishment of the database to December 31st,2023,were retrieved.Meta-analysis of the willingness rate of utilizing family bed services and subgroups among Chinese residents was conducted using Stata 16.0.Results:A total of 21 cross-sectional studies were included,with a total sample size of 25457.The willingness rate of utilizing family bed services among Chinese residents was 64.97%.The willingness rate of male(65.34%)residents to utilize family bed services was higher than that of female(61.48%)residents.The willingness rate of utilization was higher among residents aged over 60(68.82%),without a spouse(69.63%),and not living alone(65.14%).The willingness rate of utilization significantly increased among residents with a monthly income of≥2000 yuan(62.94%)and those with basic medical insurance(58.41%).The willingness rate of utilization was higher among residents with chronic diseases(66.33%)and severe impairments in daily living abilities(68.13%)than those without chronic diseases(57.03%)and without impairments(42.84%).In addition,the willingness rate of utilization was higher among residents who knew(80.45%)or used(85.80%)family bed services.Conclusion:The main related factors of the willingness rate of utilizing family bed services among Chinese residents include age,income,and the presence or absence of basic medical insurance,and the willingness rate of utilization shows an increasing trend.The willingness rate of utilization of family bed services is higher among residents with chronic diseases and severe impairments in living abilities,and those who have known and used the services.According to the actual demands

关 键 词：家庭病床服务 利用意愿 居民 相关因素 

分 类 号：R-05[医药卫生] R197.1