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目的通过调查分析四川省某市农村地区慢性病患者对基层医疗机构慢性病管理服务的利用现状及其影响因素,为促进农村地区慢性病患者有效利用慢性病管理服务提供政策建议。方法采用多阶段分层随机抽样方法抽取该市农村地区的5 360名慢性病患者进行问卷调查。结果该市农村地区慢性病患者对基层医疗机构的慢性病管理服务利用率为13.2%。年龄、职业、家庭平均月收入、患者保健意识、患慢性病种数以及到基层医疗机构所需时间是影响慢性病管理服务利用的主要因素。结论在进一步完善农村基层医疗机构慢性病管理服务的同时,应通过健康宣传,提高农村地区患者进行慢性病管理的积极性,尤其是中青年慢性病人群。其次,相关政策应重点关注低收入及无业人群。
Objective To investigate the status quo and the influential factors of chronic disease management services in rural areas of a certain municipality in Sichuan Province and provide policy recommendations for promoting the effective use of chronic disease management services in rural areas. Methods A total of 5 360 patients with chronic diseases in rural areas of the city were surveyed by multi-stage stratified random sampling method. Results The utilization rate of chronic disease management services for primary care institutions in rural areas with chronic diseases was 13.2%. Age, occupation, average family monthly income, patient health awareness, the number of chronic diseases and the time required to reach primary care institutions are the major factors affecting the utilization of chronic disease management services. Conclusions While further improving the management of chronic disease in primary rural medical institutions, we should increase the enthusiasm of patients in rural areas to manage chronic diseases through health promotion, especially for middle-aged and young people with chronic diseases. Second, the relevant policies should focus on low-income and unemployed people.