摘要
目的了解青岛市基本公共卫生服务项目知晓率及影响因素,为提高青岛市基本公共卫生项目知晓率,改善服务效果提出建议对策。方法2020年1月以青岛市10个辖区1000名普通居民和3900名接受过基本公共卫生服务的居民为调查对象,采用结构式问卷开展电话问卷调查。主要调查内容包括一般人口学资料、建档情况和基本公共卫生服务项目知晓情况等。结果1000名普通居民对项目的总知晓率为29.20%,不同年龄(χ^(2)=11.997,P=0.007)和不同户籍人口(χ^(2)=6.943,P=0.008)基本公共卫生服务项目知晓率差异有统计学意义。普通居民对服务项目的知晓途径以基层医疗机构发放/播放宣传材料为主(73.29%),其次为基层医疗机构服务时告知占63.01%,听别人说占36.99%,微信公众号、微博和网页等新媒体占27.40%,电视、广播、报纸等传统媒体占22.95%,通过公共场所宣传方式占比最小,仅占8.22%。3900名已接受服务人群对服务项目总知晓率为89.99%。有居民健康档案者、孕产妇、0~6岁儿童、高血压患者、糖尿病患者和老年人基层医疗机构服务知晓率差异有统计学意义,χ^(2)=170.500,P<0.001;知晓率最高的为老年人健康管理占96.92%,最低的为居民健康档案占78.00%。结论青岛市普通居民对项目的知晓率较低,尤其是流动人口和青壮年人群;接受服务人群对各自项目的知晓率差别较大,建议有针对性的加强宣传工作,灵活选取宣传方式,以改善青岛市基本公共卫生项目服务知晓情况。
Objective To examine the rate and influencing factors of awareness on basic public health service among Qingdao population and improve the awareness rate of basic public health service projects,provide suggestions for improving the implementation effect of basic public health service projects.Methods In January 2020,1000 ordinary residents and 3900 residents who had received basic public health service in 10 districts of Qingdao city were investigated by telephone using a structured questionnaire.The main contents of the survey included general demographic data,filing and awareness of basic public health services.Results The total awareness rate of 1000 ordinary residents about the project was 29.20%.There was significant difference in the awareness rate of basic public health service items among ordinary residents of different ages(χ^(2)=11.997,P=0.007)and population of different household registration(χ^(2)=6.943,P=0.008).The main way for ordinary residents to know about the service items was to distribute/broadcast publicity materials by primary medical institutions(73.29%),and the other way was to inform them when serving primary medical institutions(63.01%),listening to others accounted for 36.99%,new media such as wechat official account,Weibo and web page accounted for 27.40%,TV,radio,newspapers and other traditional media accounted for 22.95%,publicity through public places accounted for the smallest proportion,only 8.22%.The total awareness rate of 3900 service recipients was 89.99%.There was a significant difference in the awareness rate of service among residents with health records,pregnant women,0-6 years old children,hypertension patients,diabetes patients and elderly primary health care institutions,χ^(2)=170.500,P<0.001.The highest awareness rate was the elderly health management,accounting for 96.92%,and the lowest was the residents’health records,accounting for 78.00%.Conclusions The service awareness rate of ordinary residents is relatively low,especially the migrant population and the young and the middle-aged;The service awareness rate in received basic public health service residents on their own projects is quite different.It is suggested that targeted publicity should be strengthened and publicity methods should be selected flexibly to improve the awareness of basic public health service in Qingdao city.
作者
刘明华
马小芳
林永峰
刘丽
姜文娟
LIU Ming-hua;MA Xiao-fang;LIN Yong-feng;LIU Li;JIANG Wen-juan(Center for Disease Control and Prevention of Qingdao,Qingdao Institute of Preventive Medicine,Qingdao 266033,China;Xince Enterprise Management Consulting Co,Ltd of Shandong,Jinan250100,China)
出处
《社区医学杂志》
CAS
2021年第19期1195-1198,共4页
Journal Of Community Medicine
关键词
基本公共卫生服务
知晓率
居民健康档案
青岛市
basic public health service
awareness rate
resident health record
Qingdao city
