中国全科医学2016，Vol.19Issue(16)：1924-1927,4.DOI:10.3969/j.issn.1007-9572.2016.16.016
广州市居民社区首诊意愿及影响因素研究
Willingness for Community First Contact Care Among Guangzhou Residents and Influencing Factors
摘要
Abstract
Objective To explore the willingness for community first contact care among Guangzhou residents and its influencing factors. Methods From July to August in 2015,we conducted questionnaire survey on 190 patients from 4 community health service centers in 2 central urban areas in Guangzhou and 120 residents in the covered area by intercepting investigation. The content of questionnaire included basic information,health seeking behavior,willingness for community first contact care and satisfaction with community health service of residents. Results A total of 310 questionnaires were given out and 302 valid questionnaires were recycled( including 187 questionnaires from patients of community health service centers and 115 questionnaires from residents);the effective recovery rate was 97. 4%. Among the subjects,64. 2%(194/302) were willing to accept the first contact care in community,and the main reasons were short distance(72. 2%,140/194),short queuing time (46. 9%,91/194),reasonable price(39. 7%,77/194)and good service manner(26. 8%,52/194);28. 8%(87/302) were unwilling to accept the first contact care in community, and the main reasons were poor techniques of medical staff (50. 6%,44/87),insufficient medical equipment(50. 6%,44/87)and limited drug variety(41. 4%,36/87). For the rate of being willing to receive community first contact care,female subjects(70. 1%,129/184)were higher than male subjects (55. 1%,65/118);subjects ﹤35 years old(68. 4%,104/152)and ≥50 years old(69. 3%,70/101) were higher than subjects≥35 years old(40. 8%,20/49);subjects with bachelor degree or above(70. 2%,40/57)were higher than subjects who have an education level of primary school or below ( 45. 7%,21/46 );medically insured subjects( 70. 2%,134/191 ) were higher than subjects without medical insurance(54. 1%,60/111);and subjects who were " satisfied and very satisfied"(78. 4%,127/162 ) with community health service were higher than subjects who were " barely satisfied or unsatisfied"(57. 3%,67/117)with community health service(P﹤0. 05). Conclusion The rate of being willing to receive first contact care among community residents is high,while 30% are still unwilling to receive community first contact care. Gender,age, education level,health insurance and satisfaction degree with community health service are influencing factors for the willingness for community first contact care among residents.关键词
居民/社区首诊/意愿/影响因素分析/广州Key words
Resident/Community first contact care/Willingness/Root cause analysis/Guangzhou分类
医药卫生引用本文复制引用
钟颖,吴春玲,陈冠桦,梁清儿,刘汉萍,吴嘉宝,欧伟麟,张立威..广州市居民社区首诊意愿及影响因素研究[J].中国全科医学,2016,19(16):1924-1927,4.基金项目
广州市属高校科研项目（1201430657）---全科医生团队首诊制研究 （）
