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目的了解广西基层医疗卫生机构就诊患者对基本公共卫生服务项目的认知情况,探讨影响就诊患者对公共卫生服务项目认知的因素,研究未来发展方向,为促进基本公共卫生服务工作开展提供参考和建议。方法采取典型抽样的方法,抽取了广西三个城市,再采用简单随机抽样方法抽取36个基层医疗卫生机构,描述性分析其基本情况,并分别采用χ2检验和Logistic回归对影响就诊患者对基本公共卫生服务项目知晓度的因素进行单因素和多因素分析。结果问卷回收率为97.92%;被调查者及其家人接受过最多的基本公共卫生服务项目是建立健康档案,建档率为50.98%;基本公共卫生服务项目的知晓度为51.35%;被调查患者对基本公共卫生服务项目的了解途径主要是通过医护人员和电视/广播,分别占总应答人次的24.20%和23.26%;通过进行单因素分析,不同城市、不同学历、不同职业、不同医疗保险类型的就诊患者对基本公共卫生服务项目的知晓度差异有统计学意义(P<0.05);通过进行多因素分析,不同城市、不同学历的就诊患者对该项政策知晓度差异有统计学意义(P<0.05)。结论基本公共卫生服务项目普及度不均衡,就诊患者对该政策知晓度一般,基层医疗卫生机构应普及和务实基本公共卫生服务工作,开展特色服务工作,利用多方渠道,加强宣传力度。
Objective To understand the cognitive status of basic public health services in primary health care institutions in Guangxi and to explore the factors influencing the patients’ cognition of public health service projects, to study the future development direction, to provide reference for the promotion of basic public health services Suggest. Methods Taking the typical sampling method, three cities in Guangxi were sampled and 36 primary health care institutions were drawn by simple random sampling method. The basic situation was described descriptively. The chi-square test and Logistic regression were used to analyze the impact of treatment on basic public Health services awareness of the factors for single factor and multivariate analysis. Results The questionnaire recovery rate was 97.92%. The most basic public health service items received by respondents and their families were health records with a rate of 50.98% and basic health service awareness of 51.35%. The surveyed patients The main ways to understand basic public health service are through medical staff and TV / radio, accounting for 24.20% and 23.26% respectively of the total number of respondents; through univariate analysis, different cities, different qualifications, different occupations, different types of medical insurance (P <0.05). Through the multivariate analysis, there was significant difference in the level of awareness of this policy among the patients in different cities and different qualifications (P <0.05). Conclusion The popularization of basic public health service projects is not balanced, and the awareness of patients on treatment is normal. The primary health care institutions should popularize and pragmatically perform basic public health services, carry out special service work, and use various channels to step up publicity efforts.