Advance Search
Volume 38 Issue 1
Jan.  2022
Turn off MathJax
Article Contents
WU Shao-yan, DAI Yue, LI Yue-ping. Continuity of health care for rural diabetic patients and its associates in Sanming city: an interpersonal relationship-based analysis[J]. Chinese Journal of Public Health, 2022, 38(1): 99-104. doi: 10.11847/zgggws1131796new
Citation: WU Shao-yan, DAI Yue, LI Yue-ping. Continuity of health care for rural diabetic patients and its associates in Sanming city: an interpersonal relationship-based analysis[J]. Chinese Journal of Public Health, 2022, 38(1): 99-104. doi: 10.11847/zgggws1131796new

Continuity of health care for rural diabetic patients and its associates in Sanming city: an interpersonal relationship-based analysis

doi: 10.11847/zgggws1131796new
  • Received Date: 2020-07-25
    Available Online: 2021-08-12
  • Publish Date: 2022-01-20
  •   Objective  To examine characteristics and influencing factors of continuity of health care for rural diabetic patients in Sanming city of Fujian province from the perspective of interpersonal relationship for providing references to improve continuous health care for rural diabetic patients.   Methods  The data of 2016 on 2 606 rural diabetic patients in Sanming municipality of Fujian province were extracted from outpatient records registered in New Rural Cooperative Medical System. The interpersonal relationship-related continuity of health care for the diabetic patients was evaluated with following three indicators: usual provider of care (UPC), continuity of care index (COCI), and sequential continuity (SECON). Unconditional multivariate logistic regression analysis was performed to analyze influencing factors of the continuity of health care.  Results  The interpersonal relationship-related continuity of health care was generally good among the diabetic patients, with the same median value of 1 for UPC, COCI, and SECON. The proportions of the patients with high values of UPC (0.86 – 1), COCI (0.82 – 1), and SECON (0.81 – 1) were 84.80%, 85.61%, and 84.77%; while the proportions of the patients with low values of UPC (0 – 0.85), COCI (0 – 0.81), and SECON (0 – 0.80) were 15.20%, 14.39%, and 15.23%, respectively. The results of unconditional multivariate logistic regression analysis demonstrated that the patients in Shaxian region, visiting a doctor for 5 times or less during the year, without a complication, and seeking medical service mainly in county level or township institutions were more likely to have a high value of both UPC and COCI, while those in Youxi region were more likely to have a low value of both UPC and COCI; the patients being male, visiting a doctor for 5 times or less during the year, without a complication, and seeking medical service mainly in county level or township institutions were more likely to have a high value of SECON but those in Youxi region were more likely to have a low value of SECON.  Conclusion   The interpersonal relationship-related continuity of health care is generally good and mainly influenced by residential region, yearly frequency of visiting a doctor, situation of complication, and the grade of medical institution frequently being visited for medication among diabetic patients in rural region of Sanming municipality.
  • loading
  • [1]
    齐静, 刘松涛, 高梦阳, 等. 卫生服务连续性概念及评价维度分析[J]. 医学与社会, 2015, 28(12): 5 – 7.
    [2]
    魏来, 唐文熙. 农村高血压患者协调性和连续性服务的利用现状研究[J]. 中国医院管理, 2016, 36(7): 26 – 28.
    [3]
    Hong JS, Kang HC, Kim J. Continuity of care for elderly patients with diabetes mellitus, hypertension, asthma, and chronic obstruc-tive pulmonary disease in Korea[J]. Journal of Korean Medical Science, 2010, 25(9): 1259 – 1271. doi: 10.3346/jkms.2010.25.9.1259
    [4]
    Barker I, Steventon A, Deeny SR. Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data[J]. BMJ, 2017, 356: j84.
    [5]
    Bayliss EA, Ellis JL, Shoup JA, et al. Effect of continuity of care on hospital utilization for seniors with multiple medical conditions in an integrated health care system[J]. The Annals of Family Medicine, 2015, 13(2): 123 – 129. doi: 10.1370/afm.1739
    [6]
    Hussey PS, Schneider EC, Rudin RS, et al. Continuity and the costs of care for chronic disease[J]. JAMA Internal Medicine, 2014, 174(5): 742 – 748. doi: 10.1001/jamainternmed.2014.245
    [7]
    Kim JH, Park EC, Kim TH, et al. Hospital charges and continuity of care for outpatients with hypertension in south Korea: a nationwide population-based cohort study from 2002 to 2013[J]. Korean Journal of Family Medicine, 2017, 38(5): 242 – 248. doi: 10.4082/kjfm.2017.38.5.242
    [8]
    Chang PY, Chien LN, Bai CH, et al. Continuity of care with physicians and risk of subsequent hospitalization and end-stage renal disease in newly diagnosed type 2 diabetes mellitus patients[J]. Therapeutics and Clinical Risk Management, 2018, 14: 511 – 521. doi: 10.2147/TCRM.S150638
    [9]
    董景五. 疾病和有关健康问题的国际统计分类: 第十次修订本[M]. 2版. 北京: 人民卫生出版社, 2008.
    [10]
    梁嘉杰, 匡莉. 连续性卫生服务测量指标介绍[J]. 中国全科医学, 2013, 16(1): 108 – 112. doi: 10.3969/j.issn.1007-9572.2013.01.035
    [11]
    Kristjansson E, Hogg W, Dahrouge S, et al. Predictors of relational continuity in primary care: patient, provider and practice factors[J]. BMC Family Practice, 2013, 14: 72. doi: 10.1186/1471-2296-14-72
    [12]
    柴慎华. 农村卫生服务人际连续性现状与对策研究[D]. 武汉: 华中科技大学, 2016.
    [13]
    孙学勤. 武汉市老年高血压患者连续性卫生服务利用研究[D]. 武汉: 华中科技大学, 2011.
    [14]
    Hänninen J, Takala J, Keinänen-Kiukaanniemi S. Good continuity of care may improve quality of life in type 2 diabetes[J]. Diabetes Research and Clinical Practice, 2001, 51(1): 21 – 27. doi: 10.1016/S0168-8227(00)00198-4
    [15]
    Cheng SH, Hou YF, Chen CC. Does continuity of care matter in a health care system that lacks referral arrangements?[J]. Health Policy and Planning, 2011, 26(2): 157 – 162. doi: 10.1093/heapol/czq035
    [16]
    高梦阳. 基于服务连续性的农村卫生服务网络互动机制及模型研究[D]. 武汉: 华中科技大学, 2017.
    [17]
    柴慎华, 周丹凤, 张研, 等. 河南省某县农村居民医患人际连续性特征及影响因素分析[J]. 医学与社会, 2015, 28(9): 42 – 44.
    [18]
    秦江梅. 中国慢性病及相关危险因素流行趋势、面临问题及对策[J]. 中国公共卫生, 2014, 30(1): 1 – 4. doi: 10.11847/zgggws2014-30-01-01
    [19]
    吴思英, 蔡莹莹, 徐兴燕, 等. 我国常见慢性病“医 – 防”整合的挑战和机遇[J]. 中国公共卫生, 2019, 35(10): 1289 – 1292. doi: 10.11847/zgggws1126005
    [20]
    刘万奇, 杨金侠, 谢翩翩, 等. 整合型服务理念下慢性病一体化管理定义与标准 [J]. 中国公共卫生, 2019, DOI: 10.11847/zgggws1124266.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article views (202) PDF downloads(20) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return