摘要
目的分析北京市月坛社区卫生服务中心签约居民家庭医生就诊对应率及相关因素,为提高基层连续性服务水平和质量提供依据。方法采用便利抽样法回顾性选取2019年1月1日至12月31日在月坛社区卫生服务中心就诊的家庭医生签约患者1000例,以年度签约家庭医生就诊对应率为评估指标,分为低就诊对应率、中就诊对应率和高就诊对应率3组,分析就诊对应率的相关因素。结果1000例签约居民中,高就诊对应率组481例(48.1%)、中就诊对应率组342例(34.2%)、低就诊对应率组177例(17.7%)。不同年龄、婚姻状态、学历水平、有无高血压病史、家庭医生就诊次数、非单纯取药次数、总就诊次数者就诊对应率差异有统计学意义(χ^(2)=12.55、12.42、7.69、21.69、253.97、49.54、9.07,均P<0.05);Logistic回归分析显示,与高就诊对应率组率比较,签约家庭医生就诊次数少(OR=0.68,95%CI:0.58~0.78)、初/中等学历(OR=0.65,95%CI:0.46~0.92)、高血压病史(OR=0.09,95%CI:0.02~0.49)、18~65岁(OR=1.80,95%CI:1.27~2.55)是居民低就诊对应率的相关因素(均P<0.05),签约家庭医生就诊次数少(OR=0.91,95%CI:0.83~0.99)、初/中等学历(OR=0.74,95%CI:0.55~0.98)、高血压病史(OR=0.09,95%CI:0.02~0.44)是中就诊对应率的相关因素(均P<0.05)。结论月坛社区卫生服务中心签约家庭医生就诊对应率有待提高,签约家庭医生就诊次数、学历、高血压病史、年龄均与家庭医生就诊对应率相关。
Objective:To analyze the influencing factors related to visiting rate of residents to contracted family doctors in a community health service center in Beijing.Methods:One thousand patients with contracted family doctor services who visited our center from January 2019 to December 2019 were selected for retrospective analysis. According to the corresponding visiting rate of contracted family doctors,patients were divided into low corresponding visiting rate, medium corresponding visiting rate and high corresponding visiting rate, and the influencing factors were analyzed.Results:Among the 1 000 patients, 481 (48.1%) were in the high corresponding visiting rate group, 342 (34.2%) in the middle corresponding visiting rate group, and 177 (17.7%) in the low corresponding visiting rate group. Univariate analysis showed that the corresponding visit rate was significantly associated with the age, marital status and educational level of patients, history of hypertension, the number of family doctor visits, the total visiting time and the consultation time per year (χ^(2)=12.55, 12.42, 7.69, 21.69, 253.97, 49.54, 9.07, all P<0.05). Multivariate logistic regression analysis showed that compared with the high corresponding visiting rate group, fewer of family doctor visits ( OR=0.68, 95 %CI: 0.58-0.78), lower education level( OR=0.65, 95 %CI: 0.46-0.92), history of hypertension ( OR=0.09, 95 %CI: 0.02-0.49), and 18-65 years old( OR=1.80, 95 %CI: 1.27-2.55) were the influencing factors for the low corresponding family doctor visiting rate(all P<0.05);while fewer of family doctor visits( OR=0.91, 95 %CI: 0.83-0.99),lower education level ( OR=0.74, 95 %CI: 0.55-0.98)and history of hypertension( OR=0.09, 95 %CI: 0.02-0.44)were the related factors of the medium corresponding visiting rate(all P<0.05). Conclusions:The visiting rate of patients to the contracted family doctor needs to be improved. The number of consultations of the contracted family doctor, educational background, history of hypertension, and age are the influenc
作者
季燕
巫继东
冯爱
薛庆韵
丁静
Ji Yan;Wu Jidong;Feng Ai;Xue Qingyun;Ding Jing(Yuetan CommunityHealth Service Center,Fuxing Hospital,Capital Medical University,Beijing 100045,China)
出处
《中华全科医师杂志》
2022年第10期937-941,共5页
Chinese Journal of General Practitioners
基金
首都全科医学研究专项(21QK20)。
关键词
社区卫生服务
家庭医生签约服务
就诊对应率
相关因素
Community health services
Contracted family doctor services
Corresponding visiting rate
Related factors
