| 引用本文：王晓晓, 郭清, 杨磊, 任建萍.杭州市社区居民对家庭医生签约服务政策认知情况的调查[J].中国卫生政策研究,2020,13(5):45-49 |
|
| 杭州市社区居民对家庭医生签约服务政策认知情况的调查 |
| 投稿时间：2019-10-31 修订日期：2020-04-11 PDF全文浏览 HTML全文浏览 |
| 王晓晓1, 郭清2, 杨磊1, 任建萍1 |
1. 杭州师范大学医学院 浙江杭州 311121;
2. 浙江中医药大学 浙江杭州 310053 |
| 摘要:目的：了解杭州市社区居民对家庭医生签约服务政策的认知情况，分析其影响因素，为更好的落实家庭医生签约服务政策提供建议。方法：采用分层随机抽样的方法，选取杭州市下城区、江干区和拱墅区三个行政区，每个行政区抽样选取6个社区，每个社区随机入户调查50户家庭。调查数据使用Epidata 3.0软件录入。运用描述性分析、χ2检验及Logistic回归分析进行统计分析。结果：杭州市签约居民对家庭医生签约服务政策的知晓率为44.9%，不同年龄、职业类型、文化程度、医保类型、个人健康水平的认知差异具有统计学意义（P<0.05）；对服务内容最了解的一项是门诊医保起付标准降低300元；了解签约服务政策的途径主要是社区宣传；多因素Logistic回归分析发现，年龄、职业类型、是否具有城乡居民基本医疗保险和个人健康水平对认知度有影响。居民签约与否对慢病长处方政策的认知度差异具有统计学意义（P<0.05）。结论：杭州市社区居民，尤其是年轻群体，对家庭医生签约服务政策的认知度有待提高；签约居民的认知度高于未签约居民。建议应提高宣传效果，发挥签约人群的"口碑"带动作用，加大对政策内容的解释力度。 |
| 关键词:家庭医生签约服务 签约 政策认知 |
| 基金项目:国家自然科学基金项目（71874047） |
|
| Investigation of community residents' cognition of family doctor contract service policy in Hangzhou |
| WANG Xiao-xiao1, GUO Qing2, YANG Lei1, REN Jian-ping1 |
1. Medical School, Hangzhou Normal University, Hangzhou Zhejiang 311121, China;
2. Zhejiang Chinese Medical University, Hangzhou Zhejiang 310053, China |
| Abstract:Objective:To understand the cognition of community residents' signing services in Hangzhou, and to analyze the factors affecting cognition, and to provide suggestions for better implementation of family doctor contracting service policies. Methods:Using stratified random sampling method, three administrative districts including Xiacheng District, Jianggan District and Gongshu District of Hangzhou City were selected. Six communities were selected from each administrative district, and each community randomly surveyed 50 households. The survey data obtained was entered using Epidata 3.0 software. Statistical analysis of the survey data was performed using descriptive analysis, χ2 test, and logistic regression analysis in statistical methods. Results:The awareness rate of contracted residents on family doctors' contracting services was 44.9%. The differences in the recognition of family doctors' signing services among different ages, occupational types, education levels, medical insurance types and personal health levels were statistically significant (P<0.05). The most important thing for contracted residents to understand the contents of family doctor services is that the out-patient medical insurance payment standard is reduced by 300 yuan; the signing residents understand the family doctors' signing service mainly through community publicity; multi-factor analysis finds that age, occupation type, whether having basic medical insurance for urban and rural residents and personal health levels have an impact on awareness. There was a statistically significant difference in the recognition of residents with long-term prescription policies (P<0.05). Conclusion:Community residents in Hangzhou, especially the younger groups, need to improve their awareness of family doctor contract service policies,and the awareness of contracted population is higher than that of unsigned populations.Therefore, this paper suggests that first of all, the publicity effect should be improved through diversified and modernized publicity methods; secondly, the "word of mouth" of the contracted people should be used; thirdly, the interpretation of the policy content should be strengthened. |
| Key words:Family doctor contract service Contracting Policy cognition |
| 摘要点击次数: 1560 全文下载次数: 748 |
|
|
|
|
|
