珠海市高血压糖尿病患者双向转诊意愿及影响因素分析

目的 了解高血压、糖尿病患者双向转诊意愿情况,探讨患者双向转诊意愿的影响因素.方法 通过自行设计调查问卷,采用多阶段抽样方法进行抽样,收集968名两病患者双向转诊意愿有关资料.采用描述性分析了解患者基本情况、签约状况、患者对制度政策知晓等情况,采用多因素Logistic回归分析探讨两病患者双向转诊意愿的影响因素.结果 ...

Influencing Factors of the Willingness for Two-Way Referral of Patients with Hypertension or Diabetes in Zhuhai

Objective To understand the willingness of patients with hypertension and/or diabetes for two-way referral and analyze influencing factors.Methods A total of 968 patients with hypertension and/or diabetes were selected for a survey with a self-designed questionnaire.Multistage stratified random sampling was applied in collecting data concerning willingness for two-way referral.Results 73.35%of the patients accepted two-way referral.34.30%of the patients knew relative policies.31.71%of the patients had signed the tiered diagnosis and treatment agreements for hypertension and/or diabetes healthcare services.Major influencing factors included whether the patient understands the advantages of two-way referral mechanism(OR=10.50),whether the medicine supply of grass-root institutions can meet basic demands(OR=4.00),whether the grass-root institutions have qualified gene-ral practitioners(OR=3.50),their experiences in grass-root institutions in the recent year(OR=3.26),and whether the patients are satisfied with the overall proficiency of grass-root institutions(OR=2.09).Conclusion Patients with hypertension and/or diabetes in Zhuhai have strong willingness to accept two-way referral.Major influencing factors include whether patients believe in the benefit of two-way referral,whether grass-root institutions have a complete series of drugs,whether grass-root institutions equip with qualified general practitioners,whether they have experiences with grass-root institutions in recent year and whether they are satisfied with grass-root institutions.Policies concerning two-way referral of these two diseases should be further promoted.Grass-root institutions need to optimize medicine supply and cultivate qualified general practitioners in a multi-channel mechanism for service improvement in grass-root institutions and two-way referral promotion among patients with hypertension and/or diabetes.