摘要
目的:通过研究山东省居民对中医药服务的认知及其对首诊意愿的影响,为推动分级诊疗提供理论依据。方法:采用多阶段系统抽样对山东17地市居民进行问卷调查。结果:在调查的2965名居民中,1922人(64.8%)表示优先选择基层医疗卫生机构就诊,281人(9.5%)表示不会在基层首诊,还有762人(25.7%)表示不确定。Logistic模型结果显示,收入水平,居住地附近是否有步行20分钟到达的基层医疗机构,是否信任中医药服务,是否利用过社区的中医药服务是影响居民基层首诊意愿的因素。结论:提高基层中医药服务水平,加大基层中医药宣传力度,营造良好的中医药文化氛围,可提高居民的基层首诊意愿,从而推动分级诊疗的实现。
Objective To provide a theoretical basis for promoting hierarchical medical system by studying the cognition of Traditional Chinese Medicine services among residents in Shandong province and its influence on the primary treatment intention. Methods Residents were chosen from17 cities in Shandong Province with multiphase systematic sampling method and surveyed with questionnaires. Results Of the 2,965 sampled residents, 1,922(64.8%) preferred to seek healthcare in primary healthcare institutions, 281(9.5%) would not choose the primary healthcare institution, and 762(25.7%) were uncertainty. The results of Logistic model showed that income, whether having primary healthcare institutions within 20 minutes’ walk, whether trusting Traditional Chinese Medicine services, and whether having used Traditional Chinese Medicine services in communities are factors to influence the residents’ primary treatment intention. Conclusion It is suggested to improve the service of Traditional Chinese Medicine in primary healthcare, intensify propaganda of Traditional Chinese Medicine in primary healthcare, and create the good cultural environment of Traditional Chinese Medicine, which can improve the residents’ primary treatment intention, and promote the realization of hierarchical medical system.
作者
王颖
邓泽琳
赵世超
王丽君
郭栋
Wang Ying(Shandong Nonnal University,P.R.China)
出处
《中国卫生事业管理》
北大核心
2021年第3期178-181,225,共5页
Chinese Health Service Management
基金
山东省中医药科技发展计划项目“山东省公立中医院中医特色优势服务投入产出分析”(2019-0005)
国家中医药管理局委托项目“中医药分级诊疗模式研究”(ZY-2016-11)
山东中医药大学优秀青年科学基金“中医药分级诊疗模式选择研究”(社会科学类)(2018sk13)
关键词
中医药服务
基层首诊意愿
分级诊疗
Traditional Chinese Medicine services
primary treatment intention
hierarchical medical system.