中国全科医学2026，Vol.29Issue(22)：3192-3198,7.DOI:10.12114/j.issn.1007-9572.2024.0352
山东省糖尿病患者医防融合服务利用行为及影响因素研究
Investigation of Utilization Behaviors and Influential Factors in the Integration of Medical and Preventive Care for Diabetic Patients in Shandong Province
摘要
Abstract
Background With the development of the economy and society,the prevalence of diabetes has been increasing year by year.Diabetic patients require not only treatment services but also comprehensive and continuous integration of medical and preventive care.However,due to the fragmentation of"medical-preventive"services,there are certain deficiencies in the utilization of integration of medical and preventive care for diabetic patients.Therefore,improving the utilization of these services is crucial.Objective To understand the current status and influencing factors of the utilization of integration of medical and preventive care among diabetic patients in Shandong Province,and to provide references for further improving related policies and practices.Methods In August 2023,a multi-stage stratified cluster random sampling method was employed.Based on geographical location and economic development,Yantai City,Weifang City,and Liaocheng City were selected from the eastern,central,and western regions of Shandong Province,respectively.From each city,one county/county-level city was chosen as a sample area.Within each county/city,four townships were randomly selected.From each township,two villages were randomly chosen.In each village,25 diabetic patients included in the basic public health service management were randomly selected for a questionnaire survey.A self-designed questionnaire was used to investigate the personal characteristics of diabetic patients and their utilization behavior of integrated medical and preventive care services.Multivariate Logistic regression analysis was used to explore the factors influencing diabetic patients'utilization behavior of integrated medical and preventive care services.Results A total of 602 patients were surveyed,and 600 valid questionnaires were collected,with a validity rate of 99.67%.The good utilization rate of integration of medical and preventive care among diabetic patients was 54.5%(327/600).There were statistically significant differences in the utilization of these services among patients with different education levels,living conditions,awareness of integration of medical and preventive care,health beliefs,family doctor contracting status,presence of other chronic diseases,and self-rated health status(P<0.05).Multivariate Logistic regression analysis showed that patients with junior high school education(OR=1.896),good awareness of integration of medical and preventive care(OR=5.818),good health beliefs(OR=2.701),and those who had contracted a family doctor(OR=2.106)had better utilization behavior integration of medical and preventive care(P<0.05).Conclusion At present,there is still significant room for improvement in the utilization of integration of medical and preventive care among diabetic patients in Shandong Province.Efforts should be made to further improve these services,improving the quality of family doctor services,and increase the publicity of integration of medical and preventive care and related policies.关键词
糖尿病/医防融合/卫生服务利用/横断面研究/山东Key words
Diabetes mellitus/Integration of medical and preventive care/Utilization of health services/Cross-sectional studies/Shandong分类
医药卫生引用本文复制引用
范文瑜,冯霞,张世龙,马兴丽,张馨丹,赵洋,王海鹏..山东省糖尿病患者医防融合服务利用行为及影响因素研究[J].中国全科医学,2026,29(22):3192-3198,7.基金项目
山东大学国家治理研究院23B05课题阶段性研究成果(23B05) （23B05）
