摘要
目的调查北京市西城区社区卫生服务机构就诊患者对分级诊疗模式的认知度与赞同度，为政府主管部门提供决策依据。方法2016年7月15日至8月31日，采用现场随机拦截问卷调查的方法，抽取来西城区社区卫生服务机构就诊的患者进行调查。结果共调查2770例患者，患者对分级诊疗的认知度为62．2％（1722例）。logistic回归分析显示，最近1年内来机构就诊的次数越多、文化程度越高，对分级诊疗的认知度越高。患者对分级诊疗的赞同度为89．5％（2478例）。不赞同的原因主要是“担心耽误病情”“感觉看病不方便”“社区卫生服务机构药品少”“社区卫生服务机构诊疗能力弱”等。logistic回归显示，文化程度是赞同度的显著影响因素，文化程度越低对分级诊疗的赞同度越高。患较轻疾病时，2485例（89．7％）的患者选择“社区卫生服务中心或服务站”。结论社区患者对分级诊疗的认知度不高，赞同度较高。应进一步提高社区卫生服务机构的业务能力，加强宣传，提高居民对分级诊疗的认知。
Objective To assess the knowledge and attitude towards hierarchical medical system among patients in Beijing Xicheng district community health service centers. Methods A questionnaire survey was conducted between July and August 2016, among randomly-selected patients who were visiting community health service centers in Beijing Xicheng district. Results A total of 2 770 patients were investigated. The percentage of patients who knew the hierarchical medical system was 62. 2% （ 1 722/ 2 770）. Logistic regression showed that the degree of knowledge was significantly correlated with the visit number in the recent year and the education levels of patients. The percentage of patients who had a positive attitude to the system was 89.5% （2 478/2 770）. The main reasons for negative attitude to the system were ＂worry about the delay of treatment＂, ＂inconvenience＂ and ＂fewer drugs in community health service centers＂ and ＂weak capacity of community health service centers＂. Logistic regression showed that the education level was negatively ton＇elated with the attitude. In the case of mild illness, 2,485 （ 89.7% ） participants would chose ＂community health service center or service station＂. Conclusions The knowledge of hierarchical medical system among patients in community health institutions are moderately high, while most of them have positive attitude towards the system. The service capacity of community health service institutions should be further improved, and publicity should be strengthened to improve the awareness of hierarchical medical system among community residents.
作者
田永峰
李宁燕
王卫
Tian Yongfeng, Li Ningyan, Wang Wei(Xicheng Community Health Service Center, Beijing 100055, Chin)
出处
《中华全科医师杂志》
2018年第4期268-271,共4页
Chinese Journal of General Practitioners
关键词
社区卫生服务
问卷调查
分级诊疗
Community health service
Questionnaires
Dividing treatment by diagnosis
