功能社区在职中青年对家庭医生服务形式的需求调查研究

Investigation and research of the demand for the family doctor service form in the working young and middle-aged people in the functional communities

目的:了解上海市黄浦区功能社区在职中青年人群对家庭医生服务形式的需求及相关影响因素。方法:于2021年7月采用分层随机抽样方法选取上海市黄浦区177个居委中的9个,在每个居委辖区的5家企业内随机选取78~79名在职人员作为调查对象,采用自行设计的问卷对其进行调查。结果:670名中青年人中,已与家庭医生签约者141名(21.0%),未签约者529名(79.0%)。单因素分析结果显示,不同年龄、学历的中青年人群对微信咨询形式的家庭医生服务需求差异有统计学意义(P<0.05),不同年龄、户籍及在上海居住时间不同的中青年人群对门诊面诊形式的家庭医生服务需求差异有统计学意义(P<0.05),不同年龄、户籍、自我健康状态评估的中青年人群对互联网医疗形式的家庭医生服务需求差异有统计学意义(P<0.05)。结论:应推广适宜功能社区中青年人群需求的个性化家庭医生服务形式,同时优化线上签约服务功能并提升家庭医生的线上诊疗能力,从而扩大签约服务覆盖面,提升全人群对社区卫生服务的利用率。

Objective:To understand the demand for the family doctor service form and the related influencing factors in the working young and middle-aged people in the functional community of Huangpu District,Shanghai.Methods:In July 2021,the stratified random sampling method was adopted to select 9 out of 177 sub-district committees in Huangpu District of Shanghai,and 78-79 in-service employees in 5 enterprises under each sub-district committee were randomly selected as the survey objects,and the self-designed questionnaire was used to investigate them.Results:Among 670 young and middle-aged people,141(21.0%)had signed a contract with the family doctors,and 529(79.0%)had not signed a contract.The results of univariate analysis showed that there were statistically significant differences in the demand for family doctor service in WeChat consultation form among middle-aged and young people of different ages and educational backgrounds(P<0.05),in the demand for family doctor service in outpatient face-to-face consultation form among middle-aged and young people of different ages,household registration and living time in Shanghai(P<0.05),and in the demand for family doctor service in the form of Internet medicine among middle-aged and young people with different ages,household registration and self-health status assessment(P<0.05).Conclusion:The personalized family doctor service form suitable for the needs of middle-aged and young people in the functional communities should be promoted,the online contract service functions optimized and the online diagnosis and treatment capabilities of family doctors improved,so as to expand the coverage of contract services and improve the utilization rate of community health services for the whole population.