摘要
目的了解广西基层医疗卫生机构就诊患者对基本公共卫生服务项目的认知情况,探讨影响就诊患者对公共卫生服务项目认知的因素,研究未来发展方向,为促进基本公共卫生服务工作开展提供参考和建议。方法采取典型抽样的方法,抽取了广西三个城市,再采用简单随机抽样方法抽取36个基层医疗卫生机构,描述性分析其基本情况,并分别采用χ2检验和Logistic回归对影响就诊患者对基本公共卫生服务项目知晓度的因素进行单因素和多因素分析。结果问卷回收率为97.92%;被调查者及其家人接受过最多的基本公共卫生服务项目是建立健康档案,建档率为50.98%;基本公共卫生服务项目的知晓度为51.35%;被调查患者对基本公共卫生服务项目的了解途径主要是通过医护人员和电视/广播,分别占总应答人次的24.20%和23.26%;通过进行单因素分析,不同城市、不同学历、不同职业、不同医疗保险类型的就诊患者对基本公共卫生服务项目的知晓度差异有统计学意义(P<0.05);通过进行多因素分析,不同城市、不同学历的就诊患者对该项政策知晓度差异有统计学意义(P<0.05)。结论基本公共卫生服务项目普及度不均衡,就诊患者对该政策知晓度一般,基层医疗卫生机构应普及和务实基本公共卫生服务工作,开展特色服务工作,利用多方渠道,加强宣传力度。
Objective To realize the patients＇ cognition and attitude to basic public health service projects,to analyze the factors that put impact on the cognitive situation,to learn its direction in the future,and to provide the reference and advice for promoting basic public health services work. Methods We used a typical sampling method to extract three cities in Guangxi,and used simple random sampling method to select 36 basic medical and health institutions. We descriptively analyzed its basic situation,and used χ^2test and binary Logistic regression to analyze for single factor and multiple factors,respectively. Results The questionnaire recovery rate was 97. 92%. The highest accepted level of services was establishing health files,and 50. 98% respondents had accepted the service. 51. 35% patients knew the policy. The main approach to popularize the policy was by paramedics and TV / radio,and the rates were 24. 20% and 23. 26%,respectively. Through single factor analysis,the difference with cities,degree,careers and types of medical insurance,awareness differences were of statistical significance（ P〈0. 05）. Through multiple-factor analysis,the patients,coming from different cities and with different degree,awareness differences were statistically significant（ P〈0. 05）. Conclusion The project popularity was not balanced and the awareness rate was not high,so basic medical and health institutions should popularize basic public health services and pragmatic work,develop characteristic service work and use various sources to strengthen the publicity.
出处
《中华全科医学》
2016年第3期438-440,共3页
Chinese Journal of General Practice
基金
广西壮族自治区卫生厅课题(2011131
2011132)
关键词
基本公共卫生服务项目
基层医疗卫生机构
知晓度
Basic public health service projects
Basic medical and health institutions
Awareness rate
