| 引用本文：赵洋,刘晓云,孙晓杰,等.医生随访对农村糖尿病患者健康相关行为的影响——基于山东三县的抽样调查[J].中国卫生政策研究,2014,7(6):73-78 |
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| 医生随访对农村糖尿病患者健康相关行为的影响——基于山东三县的抽样调查 |
| 投稿时间：2014-02-28 修订日期：2014-04-01 PDF全文浏览 HTML全文浏览 |
| 赵洋1,2, 刘晓云2, 孙晓杰3, 孟庆跃1,2 |
| 1.北京大学公共卫生学院 北京 100191;2.北京大学中国卫生发展研究中心 北京 100191;3.山东大学卫生管理与政策研究中心 卫生部卫生经济与政策研究重点实验室 山东济南 250012 |
| 摘要:目的：了解农村糖尿病患者健康行为状况，分析医生随访对农村糖尿病患者健康行为的影响，为增进随访在农村慢性病规范管理和公共卫生服务均等化中的作用提供借鉴。方法：采取多阶段分层抽样方法，在山东省选取莒南、梁山、平阴3个县，对401例糖尿病患者开展问卷调查收集数据，并进行χ2检验、多元Logistic回归分析。结果：本次调查的农村地区，只有52.0%的糖尿病患者接受过随访；医生随访工作对农村糖尿病患者按时服药和运动锻炼的影响有统计学意义；对患者定期复查、测量血糖及其它行为未见显著性影响。结论：医生随访比例偏低且作用不明显；应更加重视指导内容和质量，给予积极有力的政策支持和引导，针对农村特点和患者行为，采取灵活的健康服务模式，切实改善农村地区糖尿病患者行为管理，促进公共卫生服务均等化。 |
| 关键词:医生随访 糖尿病 健康相关行为 |
| 基金项目:欧盟“HEFPA”项目（223166） |
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| Effect of doctors’ home-visiting on health related behaviors of patients with diabetes in rural areas：A sample survey in three counties in Shandong Province |
| ZHAO Yang1,2, LIU Xiao-yun2, SUN Xiao-jie3, MENG Qing-yue1,2 |
| 1.School of Public Health, Peking University, Beijing 100191, China;2.China Center for Health Development Studies, Peking University, Beijing 100191, China;3.Centre for Health Management and Policy, Shandong University, Key Lab for Health Economics and Policy Research of Ministry of Health, Shandong Jinan 250012, China |
| Abstract:Objective: This article discusses the status of the health behaviors of rural people with diabetes, to explore effect of doctors' home-visiting on the behavior of patients with diabetes in rural areas, and to promote chronic disease management and public health service equalization in rural areas. Methods：Junan, Liangshan, and Pingyin counties in Shandong province were sampled using a multi-stage stratified sampling method, and data was collected from 401 questionnaires issued to people with diabetes. A chi-square test and multivariate logistic regression were used to analyze the determinants. Results：Only 52.0% of diabetes patients received home-visiting from doctors in the surveyed rural areas. Doctors' visiting works on medication behavior on time and appropriate exercise of patients with diabetes in rural areas was statistically significant, but did not work on measuring blood glucose and periodic review and other health-related behaviors. Conclusion: The rate of doctor home-visiting is low, and the effect is not obvious. More attention should be paid to the content and quality of doctors' home visiting, and strong policies should support and guide it. According to the characteristics of the rural and patients behavior changing, it is necessary to take flexible modes of health service, improve the diabetes management in rural areas, and promote the equalization of public health service. |
| Key words:Doctors home-visiting Diabetes Health related behaviors |
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