目的 了解徐州市居民对分级诊疗制度认可情况,为分级诊疗制度的有效实施提供建议.方法 采用分层随机抽样方法,于2016年7—8月,抽取徐州市18岁以上无认知障碍的居民进行问卷调查,调查内容包括居民基本情况及其对分级诊疗制度的认可情况.共发放问卷1 550份,有效回收1 473份.计数资料采用构成比的方式表示,单因素分析采用χ2检验,多因素采用二元logistic回归分析.结果 徐州居民分级诊疗制度认可率为71.0% ;不同年龄、居住地、文化程度、年平均月收入、医疗费用、自评健康状况、健康体检经历、慢性病患病情况、基层医疗卫生机构就医经历和是否知晓分级诊疗制度的居民,对分级诊疗制度的认可情况,差异有统计学意义(P<0.05).结论 徐州市居民分级诊疗制度认可率有待提高.应加大宣传力度,加强基层人力培养,提升基层服务能力,以提高居民的认可度,发挥分级诊疗制度作用.%Objective To investigate the residents' acceptance and the influencing factors of the hierarchical medical system in Xuzhou, and to suggest on effective system implementation. Methods Xuzhou residents free of cognitive impairment and over 18 years old were sampled for questionnaire survey in July-August 2016, to study their acceptance of their basics and acceptance of the system. 1 550 questionnaires were distributed, and 1 473 valid ones were recovered. The count data were expressed as constituent ratio, and χ2test was used for single-factor analysis, with binary logistic regression analysis for multi-factor analysis. Results 71. 0% of the residents embraced this system. Their acceptance varies significantly with their age, place of residence, education, annual average monthly income, self-rated health status, physical examination experience, conditions of chronic diseases, medical visit experience at primary healthcare institutions, and their awareness of the system (P<0.05). Conclusions The acceptance of the system by Xuzhou residents needs to be elevated, by means of greater promotional efforts, capacity building for primary institutions, so as to fully leverage the system to serve the residents.
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