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上海市近郊某街道居民社区儿科就诊意愿调查及原因分析

Investigation and reason analysis of the residents' willingness to see doctor in community pediatrics in a suburb of Shanghai

  • 摘要:
    目的 探讨上海市近郊某街道居民社区儿科就诊意愿以及对社区儿科建设的知晓度、服务需求等。
    方法 选取2021年4月至5月和2023年2月该街道部分居民为调查对象。采用方便抽样,以该社区卫生服务中心预防保健科门诊为调查点,通过问卷星调查预防接种儿童监护人;采用分层随机抽样,将该街道内幼儿园、小学、初中分别编号,随机抽取某学校某年级某班级,针对该班级学生监护人进行问卷星抽样调查。
    结果 2021年回收问卷3 446份,其中有效问卷3 446份;2023年回收问卷2 613份,有效问卷2 613份。就诊意愿中选择社区儿科的相对较少,2023年社区儿科就诊意愿高于2021年。选择社区儿科就诊最主要原因是离家近、交通便利、排队时间少;不选择社区儿科的主要原因是医生技术水平有限、医疗设备不齐全和药品种类有限。Logistic回归分析结果显示,监护人是否为医务系统职工、社区儿科知晓度是社区儿科就诊意愿的影响因素。
    结论 居民对社区儿科服务需求潜力巨大,社区卫生服务中心开设儿科具有必要性。目前居民对社区开设儿科的知晓度偏低,需进一步加强社区儿科建设的宣传,进一步提升社区儿科医务人员的服务能力,以及配置相应的药品和设施设备。

     

    Abstract:
    Objective To explore the residents of a street in the suburbs of Shanghai to understand their willingness to see a doctor in community pediatrics, their awareness of the construction of community pediatrics and their service needs.
    Methods From April to May 2021 and February 2023, some residents of this street were selected as survey objects. Convenience sampling was adopted, and the community health service center preventive health department outpatient clinic was used as the survey point; stratified random sampling is adopted, the kindergarten, primary school and junior high school in the street are numbered respectively, and a grade and a class of a school are randomly selected to conduct a questionnaire star sampling survey on the guardians of the students in the class.
    Results According to statistics, 3 446 questionnaires were collected in 2021, among which 3 446 were valid. In 2023, 2 613 questionnaires were collected and 2 613 were valid. Relatively few patients chose community pediatrics in their willingness to see a doctor, and the willingness to see a doctor in 2023 was higher than that in 2021. The main reasons for choosing community pediatric clinic are close to home, convenient transportation and less queuing time. The main reasons for not choosing community paediatrics were the limited skill level of doctors, inadequate medical equipment and limited range of drugs. Logistic regression results showed that whether the guardian was a staff member of the medical system and the awareness degree of community pediatrics were influencing factors of the willingness to see a doctor in community pediatrics.
    Conclusions There is a great potential demand for community pediatric services, and it is necessary to set up pediatrics in community health service centers. At present, residents have a low awareness of community paediatrics, so it is necessary to further strengthen the publicity of community paediatrics construction, further improve the paediatrics service capacity of community medical staff, and allocate corresponding drugs and facilities.

     

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