摘要
目的了解2011—2014年华漕社区实施家庭医生制度后居民对健康知识及家庭医生知晓情况,为完善家庭医生制度提供依据。方法通过整群抽样抽取华漕镇每个村委或居委各20户家庭,2011年共调查1 207人,2014年共调查1 307人。自拟调查问卷,对基本情况、健康知识知晓情况、家庭医生知晓度和满意度情况及公共卫生服务情况等进行调查。对调查人员进行统一培训,统一安排时间入户调查。结果家庭医生制度实施4年后居民知道自己血糖和血压、接受健康教育和接受健康体检等方面均有提升(P<0.05)。居民对家庭医生知晓率从45.60%提升为81.94%(P<0.05),与家庭医生签订服务协议的居民从38.94%提升为79.95%(P<0.05),97.09%的居民建立了居民电子健康档案,72.69%的居民表示有健康需求会联系家庭医生,47.82%的居民近1个月联系过家庭医生,对家庭医生满意度为61.82%。家庭医生所提供的健康体检、慢性病患者规范管理、免疫预防、健康教育等相关公共卫生服务知晓情况均有所提升(P<0.05)。结论家庭医生制度有利于落实基本公共卫生服务。居民对家庭医生知晓度提升,但满意度仍不高。建议进一步研究和开发符合居民健康需求的家庭医生实用性医疗技术,提高居民健康水平。
Objective To investigation the health knowledge and family doctors awareness of residents after implementing the doctor system in Huaeao community between 2011 and 2014. Methods Twenty families in every village were sampled through cluster sampling. A self-designed questionnaire survey was conducted among 1 207 people in 2011 and 1 307 people in 2014 for the background, awareness of health knowledge, degree of satisfaction to family doctor and public health services. The unified training was performed for the investigators, and the survey was carried out in one time period. Results Four years after the implementation of the doctor system, the proportion of residents knowing their blood glucose and blood pressure levels and receiving health education and health examination was increased （ P 〈 0.05 ）. Residents＇ awareness of family physicians was increased from 45.60% to 81.94% （P 〈 0.05 ）. The rate of residents signing a service agreement with the family doctor increased from 38.94% to 79.95% （P 〈 0.05 ）. 97.09% of the residents established their electronic health records, 72.69% of the residents will contact the family doctor to meet their health needs, and 47.82% of the residents had a contact with their family doctor in nearly a month. But the satisfaction to family doctor was only 61.82%. The public health services such as physical examination, standard management of patients with chronic diseases, immunizations, and health education provided by family doctors was also increased（ P 〉 0.05 ）. Conclusion The family doctor system is conducive to the implementation of basic public health services. The family physician awareness from the residents was increased, but the satisfaction was not enough. The practical medical technology that meets the health needs of residents should be developed and popularized in family doctors to improve the health level of them.
出处
《中华全科医学》
2016年第2期258-260,共3页
Chinese Journal of General Practice
基金
上海市闵行区自然科学研究课题(2014MHZ035
2014MHZ016)
