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杨华杰, 周志衡, 王家骥. 农村社区居民慢性病就诊取向及影响因素分析[J]. 中国公共卫生, 2010, 26(9): 1128-1130. DOI: 10.11847/zgggws2010-26-09-22
引用本文: 杨华杰, 周志衡, 王家骥. 农村社区居民慢性病就诊取向及影响因素分析[J]. 中国公共卫生, 2010, 26(9): 1128-1130. DOI: 10.11847/zgggws2010-26-09-22
YANG Hua-jie, ZHOU Zhi-heng, WANG Jia-ji. Treatment intention of non-commumicable chronic disease among residents in rural communities[J]. Chinese Journal of Public Health, 2010, 26(9): 1128-1130. DOI: 10.11847/zgggws2010-26-09-22
Citation: YANG Hua-jie, ZHOU Zhi-heng, WANG Jia-ji. Treatment intention of non-commumicable chronic disease among residents in rural communities[J]. Chinese Journal of Public Health, 2010, 26(9): 1128-1130. DOI: 10.11847/zgggws2010-26-09-22

农村社区居民慢性病就诊取向及影响因素分析

Treatment intention of non-commumicable chronic disease among residents in rural communities

  • 摘要: 目的 探讨广东省广州市和中山市农村社区居民常见慢性非传染性疾病就诊取向,为制定社区综合防治干预措施提供科学依据.方法 在广州市某区和中山市某镇分别随机抽取20 264名及3 278名农村居民进行问卷调查,分析2市农村居民慢性病就诊取向及其主要影响因素.结果 广州市和中山市农村居民慢性病患病率分别为12.43%和9.43%;广州、中山2市分别有49.2%和65.7%的居民选择在区医院或二级医院就诊,广州市居民(25.9%)选择在三级综合或专科医院就诊的比例明显高于中山市居民(3.9%)(P<0.05);2地在社区卫生服务机构就诊比例普遍偏低,分别为14.6%和29.1%,在企事业单位医院/保健站及其他医疗机构就诊比例为10.2%和1.3%;影响就诊取向因素主要有年龄(OR=1.138)、职业(OR=1.050)、体育锻炼(OR=0.508)、保健知识(OR=1.825).结论 农村居民慢性病在基层医疗就诊比例较低,应积极引导农村社区慢性病患者向社区卫生服务机构就诊,并开展社区慢性病规范化管理.

     

    Abstract: Objective To explore the treatment intention of non-communicable chronic disease(NCD) among residents in rural communities of Guangzhou and Zhong shan city for comprehensive prevention and cure of NCD.Methods To tally 278 rural residents from a town of Zhong shan and 20264 from a district of Guang zhou were selected randomly and investigated with a questionnaire.The treamtent intention of NCD and its main influencing factors among the subjects were analyzed.Results The prevalence rate of the non communicable chronic diseases among the residents of Guangzhou and Zhong shan were 12.43% and 9.43%,respectively.In Zhong shan,65.7% of the residents chose the district hospital or the second level hospital for the treamtent and the figure in Guang zhou was 49.2%.The proportion of the residents who chose the third level general hospital or specialized hospital for the treamtent of NCD in Guangzhou(25.9%) was obviously higher than that of in Zhong shan(3.9%,P < 0.05).The propor tions of residents choosing community health center for treamtent of NCD in the two cities were unive rsally low(29.1% and 14.6%) and the proportions of choosing hospital inenterprise or government institution,health care station and other medical institution for treatment were relatively low(1.3% and 10.2% in the two cities).Logisticreg ression analysis showed that age(odds ratioOR=1.138),occupation(OR=1.050),physical exercise(OR=0.508) and healthcare knowledge(OR=1.825) were prmiary influencing factors to the treamtent intention of NCD among the residents in rural communities in Guangzhou and Zhongshan city.Conclusion The treamtent intention of NCD among residents in rural communities is not high.Much more work should be done to guideruralre sidentswith NCD to take the treamtent in community health service organization,and to develop standardized management regulation for treamtent of NCD in community.

     

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