佛山市居民分级诊疗制度认知及支持的影响因素研究

Study on the Influencing Factors of Residents Cognition and Support of Hierarchical Medical System in Foshan City

目的了解佛山市居民对分级诊疗制度认知及支持的影响因素分析,为制度实施提供参考依据。方法通过多阶段随机抽样的形式,采用单因素及Logistic回归分析对影响因素进行分析。结果被调查的372名居民中,84人表示知道分级诊疗制度,85人表示略有了解,知晓率偏低,仅为45.43%;分级诊疗制度支持人数为260人,支持率为69.89%;291人支持基层诊疗制度,支持率为78.23%。年龄、文化程度、月平均收入、基层就医经历以及自评健康状况对分级诊疗制度的支持情况产生影响(P<0.01)。结论佛山市居民对分级诊疗制度的认知不足,基层首诊率低,需完善分级诊疗制度相应的推行措施,提升医疗服务水平,促进分级诊疗的持续发展。

Objective:To understand the influencing factors of Foshan residents’cognition and support for the hierarchical medical system,and provide reference for the implementation of the system.Method:Single factor and logistic regression analysis were used to analyze the influencing factors by multi-stage random sampling.Result:Among the 372 residents surveyed,84 said they knew the hierarchical medical system,and 85 said they had a little understanding of it,with a low awareness rate of 45.43%.The number of people supporting the hierarchical medical system was 260,with an approval rate of 69.89%and 291 people,or 78.23%,supported the grassroots medical treatment system.Age,education level,average monthly income,grassroots medical experience and self-rated health status had an impact on the support of hierarchical medical system(P<0.01).Conclusion:The residents of Foshan City have insufficient cognition of hierarchical medical system,and the first diagnosis rate at the grassroots level is low.Therefore,it is necessary to improve the corresponding implementation measures of hierarchical medical system,improve medical service level,and promote the sustainable development of hierarchical medical system.