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目的了解徐州市农村居民对分级诊疗制度的知晓情况,探讨其影响因素。方法于2016年7—8月,采用多阶段分层随机抽样法在徐州市4个县抽取农村居民800例进行问卷调查,主要内容包括农村居民的基本情况及其对分级诊疗制度知晓情况。共发放问卷800份,有效回收763份,问卷有效回收率为95.4%。结果 292例农村居民知晓分级诊疗制度,知晓率为38.3%,主要知晓途径为报纸、电视、网络等媒体(37.0%,108/292)。不同年龄、文化程度、职业、去年平均月收入及是否2周内患病、是否有健康体检经历、是否有基层卫生服务机构就诊经历、是否有转诊经历农村居民的分级诊疗制度知晓率比较,差异有统计学意义(P<0.05);不同性别、婚姻状况、医疗保险类型、自评健康状况、步行至最近基层卫生服务机构时间农村居民的分级诊疗制度知晓率比较,差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,文化程度、职业、是否有健康体检经历、是否有基层卫生服务机构就诊经历、是否有转诊经历是农村居民对分级诊疗制度知晓情况的影响因素(P<0.05)。结论徐州市农村居民的分级诊疗制度知晓率有待提高,文化程度、职业、健康体检经历、基层卫生服务机构就诊经历、转诊经历是农村居民知晓分级诊疗制度的影响因素。
Objective To understand the status quo of rural residents in Xuzhou City and to discuss the influencing factors. Methods From July to August, 2016, a multi-stage stratified random sampling method was used to survey 800 rural residents in 4 counties of Xuzhou for questionnaire survey. The main contents include the basic conditions of rural residents and their knowledge of the classification and treatment system. A total of 800 questionnaires were distributed, effective recovery of 763 copies, the questionnaire effective recovery rate of 95.4%. Results 292 rural residents were aware of the classification and treatment system. The awareness rate was 38.3%. The main ways of awareness were newspapers, television and internet (37.0%, 108/292). Different age, education level, occupation, average monthly income last year, whether or not the disease is within 2 weeks, whether there is a healthy physical examination experience, whether there is any treatment experience of primary health care institutions, whether there is referral experience of grading medical treatment system comparison among rural residents, (P <0.05). There was no significant difference in the awareness rate of the grading system of rural residents from different sexes, marital status, type of health insurance, self-rated health status and walk to the nearest primary health care institutions P> 0.05). The results of multivariate logistic regression analysis showed that the level of education, occupation, health check-up experience, whether there was primary health care service experience, whether referral experience or not was the influencing factor of rural resident’s understanding of classification and treatment system (P0.05) . Conclusion The awareness rate of grading medical treatment system for rural residents in Xuzhou City needs to be improved. The education level, occupation, health examination experience, visit experience of primary health care institutions, and referral experience are the influential factors for rural residents to know the grading medical treatment system.