中国农村卫生事业管理2024，Vol.44Issue(12)：845-853,9.DOI:10.19955/j.cnki.1005-5916.2024.12.002
我国中部地区流动人口家庭医生签约现状及影响因素分析
Status quo and influencing factors of family doctor contracting for migrants in the central region of China
摘要
Abstract
Objective To analyze the status quo of family doctor contracting for the migrants in the cen-tral region of China and its influencing factors,in order to provide reference for better realizing the equalization of basic public health services for the migrants and improving the status quo of family doctor contracting for them.Methods Based on the data of the 2018 China Migrants Dynamic Survey,the migrants flowing into the central re-gion of China with a mobility time of ≥6 months was screened,and a logistic regression model and a decision tree model were established respectively with the SPSS 26.0 software to analyze the influencing factors for the migrants signing up for a family doctor.Results Among the migrants in the central region of China,the rate of signing up for a family doctor was 19.68％,and the knowledge rate was 46.88％.logistic regression analysis results showed that migrants with age ≥45 years(OR=1.305,95％CI=1.087～1.567),university education and above(OR=1.443,95％CI=1.222～1.705),agricultural household(OR=1.330,95％CI=1.219～1.451),and those having a spouse(OR=1.239,95％CI=1.074～1.431),having received at least one health education(OR=2.352,95％CI=1.934～2.860),and having established health records(OR=42.335,95％CI=37.245～48.121)were more willing to sign up for a family doctor;those who were insured in their domicile(OR=0.832,95％CI=0.756～0.915),who were migrating within the province and across cities(OR=0.877,95％CI=0.792～0.971),whose per capita monthly household income was higher than 1 000 RMB,and who migrated for work(OR=0.426,95％CI=0.305～0.596)were more reluctant to sign up for a family doctor.The decision tree model showed that health record was the main influence factor for the migrants to sign up for a family doctor,followed by the reason for mobility,whether or not to receive health education,and per capita monthly household income.Conclusions The rate of family doctor contracting among the migrants in the central region of China still needs to be improved,and the phenomenon of"knowing but not signing"is more common.It is recommended to improve the low signing rate by increasing the popularization of the policy,enriching the content of the contracted services,and coordinating the promotion of basic public health services.关键词
中部地区/logistic回归/决策树模型/流动人口/家庭医生/影响因素Key words
Central region/Logistic regression/Decision tree model/Migrants/Family doctor/Influen-tial factor分类
医药卫生引用本文复制引用
李凤红,钟杰,郑先平..我国中部地区流动人口家庭医生签约现状及影响因素分析[J].中国农村卫生事业管理,2024,44(12):845-853,9.基金项目
江西省中医药科技计划项目(2020D002) （2020D002）
江西中医药与大健康研究院智库项目(ZK202304) （ZK202304）
江西中医药大学2023年度研究生创新专项资金立项资助项目(JZYC23S23) （JZYC23S23）
