| 引用本文： |
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李如然,张扬,沈菲,等.功能社区中青年人群对全科医疗服务内容需求及影响因素分析[J].同济大学学报（医学版）,2022,43(5):718-724. [点击复制]
- LI Ruran,ZHANG Yang,SHEN Fei,et al.Survey on demands for general practice services among young and middle-aged residents in functional communities and related influencing factors[J].同济大学学报（医学版）,2022,43(5):718-724. [点击复制]
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| 摘要: |
| 目的为制定适宜功能社区中青年人群的全科医疗服务内容和政策提供参考依据，引导其就诊社区、签约社区。方法2021年7月采用分层随机抽样法向上海市黄浦区功能社区中青年发放自制问卷703份，回收有效问卷670份，运用SPSS 20.0统计学软件进行数据分析。结果中青年人群医保享有率高（94.2%），未签约家庭医生占比大（79%）；中青年人群除中医推拿针灸、急救服务2项外，其他6项服务内容签约者的需求评分均高于未签约者（P<0.05）；居住时长、是否签约全科医生是中青年人群对服务内容总体需求度的显著影响因素。结论功能社区中青年人群的需求呈现出优先自我诊疗、非社区首诊、对中医认可度高的特点，建议参考其需求特点和影响需求的主要因素，制定适宜其人群的个性化服务内容和政策。 |
| 关键词: 功能社区 中青年 全科医疗服务需求 影响因素分析 |
| DOI：10.12289/j.issn.1008-0392.22219 |
| 投稿时间：2022-09-06 |
| 基金项目:上海市医药卫生发展基金会课题（SE1201933）;2020年度上海市黄浦区卫生健康系统科研(临床)项目-青年项目课题（HLQ202017）;2021年同济大学研究生医学教育管理专项项目（2021YXGL14） |
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| Survey on demands for general practice services among young and middle-aged residents in functional communities and related influencing factors |
| LI Ruran,ZHANG Yang,SHEN Fei,ZHAO Yajun,GE Xuhua |
| (Academic Department of General Practice, School of Medicine, Tongji University, Shanghai 200092, China; Department of General Medicine, Yangpu Hospital, School of Medicine, Tongji University， Shanghai 200090, China; Yuyuan Community Health Service Center, Huangpu District， Shanghai 200010, China;Yinhang Community Health Service Center, Yangpu District， Shanghai 200438, China;Zhongshan Hospital, Fudan University, Shanghai 200032, China) |
| Abstract: |
| ObjectiveTo survey on demands for general practice services among young and middle-aged residents in functional communities and to analyze related influencing factors. MethodsA questionnaire survey was conducted among young and middle-aged residents in functional communities of Shanghai Huangpu District selected by stratified random sampling method in July 2021. SPSS 20.0 statistical software was used for data analysis. ResultsA total of 703 questionnaires were distributed and 670 valid ones were retrieved. The survey showed that the coverage rate of medical insurance was high among young and middle-aged people(94.2%), however, high proportion of respondents did not signed contract with family doctors(79%). Except for Chinese massage, acupuncture and first aid services, the demand scores of other six services in respondents with contracted family doctor were higher than those without contracted family doctor(P<0.05). The length of residence and having contracted family doctor services were influencing factors for overall demand of general practice services among young and middle-aged residents. ConclusionIt is suggested for community health service to develop personalized service contents to meet the demands of young and middle-aged residents in functional communities. |
| Key words: functional community young and middle-aged general practice medical service demand analysis of influencing factors |
