摘要
目的了解江苏省徐州市中老年居民对家庭医生签约服务的信任度现状及其影响因素,为促进中老年居民签约家庭医生服务提供对策建议。方法于2017年7月3—10日采用分层随机抽样方法抽取徐州市云龙区(包含新城区)、鼓楼区、贾汪区、泉山区、铜山区、九里区等6个城区共927名年龄≥45周岁的中老年居民进行问卷调查。结果徐州市927名中老年居民中,仅有15.53%的居民表示信任家庭医生签约服务;有序多分类logistic回归分析结果显示,基层转诊到大医院、有签约意愿和已经签约家庭医生的徐州市中老年居民对家庭医生签约服务的信任度较高,农村户籍、企业单位员工、其他职业者、首诊机构为大医院和大医院转诊到基层的徐州市中老年居民对家庭医生签约服务的信任度较低。结论徐州市中老年居民对家庭医生签约服务的信任度不高,户籍、职业、首诊机构、转诊经历及是否有签约意愿和已经签约家庭医生是该地区中老年居民对家庭医生签约服务信任度的主要影响因素。
Objective To investigate the degree and influencing factors of confidence to contracted family doctor services(CFDS)among middle-aged and elderly residents in Xuzhou city of Jiangsu province for promoting implementation of CFDS in the population.Methods We recruited 927 community residents aged 45 years and above using stratified random sampling in 6 urban districts for a face-to-face questionnaire survey during 3–10 July,2017.The collected data were analyzed with statistical description,Wilcoxon rank sum test,Kruskal-Wallis H test and ordinal multiple logistic regression.Results Among the respondents,only 15.53%reported the confidence to CFDS.The results of logistic regression showed that the respondents with the experience of transferred from grassroots medical institutions to major hospitals,having willingness to receive CFDS,and having participated in CFDS were more likely to report the confidence to CFDS;while those with rural census register,working in enterprises,being an employee other than an enterprises or public institution,initially visiting a doctor in major hospitals,and with the experience of transferred from a major hospital to grassroots institutions were less likely to report the confidence to CFDS.Conclusion The confidence to contracted family doctor services is at a low level and mainly influenced by census register,occupation,type of medical institutions visited initially,experience of hospital transference,the willingness to receive the service,and whether having received the service among middle-aged and elderly community residents in Xuzhou city.
作者
郑娟
许建强
卓朗
ZHENG Juan;XU Jian-qiang;ZHUO Lang(School of Public Health,Xuzhou Medical University,Xuzhou,Jiangsu Province 221004,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2020年第8期1233-1236,共4页
Chinese Journal of Public Health
基金
江苏高校哲学社会科学基金(2017SJB1003)。
关键词
家庭医生签约服务
信任度
影响因素
中老年居民
contracted family doctor services
confidence level
influencing factor
middle–aged and elderly residents