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徐昊楠, 李珍, 王德文. 福建省流动人口家庭医生服务签约现状及影响因素[J]. 中国公共卫生, 2020, 36(7): 1028-1031. DOI: 10.11847/zgggws1124753
引用本文: 徐昊楠, 李珍, 王德文. 福建省流动人口家庭医生服务签约现状及影响因素[J]. 中国公共卫生, 2020, 36(7): 1028-1031. DOI: 10.11847/zgggws1124753
Hao-nan XU, Zhen LI, De-wen WANG. Utilization of contracted family doctor service and its determinants among migrant population in Fujian province[J]. Chinese Journal of Public Health, 2020, 36(7): 1028-1031. DOI: 10.11847/zgggws1124753
Citation: Hao-nan XU, Zhen LI, De-wen WANG. Utilization of contracted family doctor service and its determinants among migrant population in Fujian province[J]. Chinese Journal of Public Health, 2020, 36(7): 1028-1031. DOI: 10.11847/zgggws1124753

福建省流动人口家庭医生服务签约现状及影响因素

Utilization of contracted family doctor service and its determinants among migrant population in Fujian province

  • 摘要:
      目的  通过对福建省流动人口家庭医生服务签约现状及其影响因素的分析,为提升家庭医生签约服务在基层医疗卫生服务的基础性作用提供参考依据。
      方法  基于2018年全国流动人口动态检测调查数据福建省资料,利用Stata 12.0软件统计分析福建省9个市6 020名流动人口的家庭医生签约服务的情况。
      结果  福建省6 020名流动人口调查对象的家庭医生服务签约率为3.60 %,未签约的流动人口占比为85.20 %,不清楚签约情况的流动人口比例为11.2 %;年龄 < 35岁(P = 0.022)的、自评健康良好的(P = 0.002)和流动范围是省内跨市(P = 0.000)及市内跨县(P = 0.000)的流动人口签约家庭医生服务的可能性更大。
      结论  流动人口家庭医生服务签约情况不理想,性别、婚姻状况、受教育程度、健康状况、流动范围、接受健康教育是家庭医生服务签约的重要制约因素。未来需要加强面向流动人口的家庭医生签约服务的宣传工作,提高家庭医生签约服务知晓率,改善流动人口家庭医生服务签约率低的现状。

     

    Abstract:
      Objective  To analyze the utilization of contracted family doctor service and its influencing factors among migrant population in Fujian province and to provide evidences for improving the role of the service primary health care.
      Methods  The data on 6 020 migrant people in 9 municipalities of Fujian province were extracted from National Survey on Migrant Population conducted in 2018. STATA 12.0 software were used in statistical analyses.
      Results  Of all the respondents, only 3.60% signed contracts for receiving contracted family doctor service; 85.20% did not participate in the service and 11.2% were unclear about their participation in the service. The respondents under 35 years old (P = 0.022), with a self-rated good health (P = 0.002), and migrating within the province (P < 0.001) and or within a city or a county (P < 0.001) were more likely to sign a contract for receiving contracted family doctor service.
      Conclusion  The utilization of contracted family doctor service is poor and influenced by gender, marital status, education level, health status, migrating region, and health education among migrant population in Fujian province.

     

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