中国全科医学2025，Vol.28Issue(25)：3144-3150,7.DOI:10.12114/j.issn.1007-9572.2024.0362
基层医生慢性病医防融合服务行为意向及影响因素研究
Study of Behavioral Intention and Influencing Factors of Integrated Medical and Preventive Care Provided by Grassroots Doctors for Patients with Chronic Diseases
摘要
Abstract
Background Chronic diseases have become a significant public health issue in China.Due to the prolonged course and difficulty in achieving a cure,it is essential to promote full-life-cycle integrated medical and preventive care for prevention and treatment of chronic diseases.However,medical services and public health services in China are separatedand there is still a gap in the supply of integrated medical and preventive care.Grassroots doctors are key providers of such services,and their behavior directly impacts the quality of integrated medical and preventive care.Therefore,it is crucial to explore the behavioral intention of grassroots doctors in providing integrated medical and preventive care for chronic diseases.Objective This study investigates the current status and influencing factors of the behavioral intention of integrated medical and preventive care provided by grassroots doctors for patients with chronic diseases in Shandong Province.The aim of the study was to offer insights and guidance for improving the quality of integrated medical and preventive care at the grassroots level.Methods A total of 481 grassroots doctors were collected through multi-stage stratified cluster random sampling in Shandong Province.A questionnaire survey was conducted to investigate grassroots doctors'behavioral intention to integrate medical and preventive care,and the influencing factors were analyzed using univariate analysis and binomial logistic regression.The questionnaire of this study was entitled"Questionnaire on the behavioral intention of integrated medical and preventive care provided by grassrootd doctors for patients with chronic diseases"and its content was modified after expert consultation.The questionnaire mainly includes four parts:questionnaire on general situation,questionnaire on the awareness of integrated medical and preventive care,questionnaire on the assessment of the environment of integrated medical and preventive care in grassroots medical institutions,and questionnaire on the behavioral intention of integrated medical and preventive care provided by grassroots doctors.Results 83.16%(400/481)of grassroots doctors had a high level of behavioral intention to provide integrated medical and preventive care.Grassroots doctors who were female(OR=2.149),had junior college diploma(OR=2.736),had a higher level of awareness of integrated medical and preventive care(OR=3.549),and were employed in the organizations with better environment(OR=8.264)had a stronger behavioral intention to provide integrated medical and preventive care(P<0.05).Conclusion Currently,grassroots doctors show strong behavioral intention to provide integrated medical and preventive care for patients with chronic diseases.However,it is still necessary to establish a sound incentivization mechanism.A variety of promotional strategies should be utilized to further raise awareness among grassroots doctors.Additionally,dedicated funding should be well allocated to optimize the healthcare environment at the grassroots level.It is also essential to develop well-defined policy documents and service guidelines for integrated medical and preventive care.Furthermore,targeted training on integrated medical and preventive care should be implemented for grassroots doctors with specific characteristics.关键词
慢性病/医防融合/基层医生/行为意向/山东省/二元Logistic回归模型/影响因素分析Key words
Chronic disease/Integrated medical and preventive care/Grassroots doctors/Behavioral intention/Shandong province/Binomial Logistic regression model/Root cause analysis分类
医药卫生引用本文复制引用
范博阳,张玉,孙雯宁,张慧芳,王英杰,张奥,赵洋,王海鹏..基层医生慢性病医防融合服务行为意向及影响因素研究[J].中国全科医学,2025,28(25):3144-3150,7.基金项目
山东大学国家治理研究院23B05课题 （）
