首页|居民主动利用基层卫生服务行为测量与驱动策略研究

居民主动利用基层卫生服务行为测量与驱动策略研究

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目的:测量居民主动利用基层卫生服务情况,并分析其影响因素,以促进居民作出主动健康行为.方法:通过文献研究和专家咨询,从交流对话、服务获取、过程信任、结果反馈四个维度设计居民主动利用基层卫生服务行为量表,测量60 岁及以上居民主动利用基层卫生服务行为,并采用多元线性回归分析其影响因素.结果:量表整体与各条目的检验水平与理论构想相符合.通过分析发现居民主动利用基层卫生服务行为总得分为(47.67±8.83)分,四个维度评分中,过程信任行为评分最高,交流对话行为评分最差.回归分析结果显示,现居住地、家庭常住人口数和户籍类型与居民主动利用基层卫生服务行为有统计学差异.结论:量表具有良好的信效度,为测量居民主动利用基层卫生服务行为提供了依据.居民主动利用基层卫生服务行为整体情况一般,相关部门应聚焦居民健康需求,优化基层卫生服务内容,重视与居民的交流沟通,同时居民也应培养主动健康观念,加强主动健康行为.
Study on the Behavioral Measurement and Driving Strategy of Residents'Active Utilization of Primary Health Serv-ices
Objective To measure the residents'active use of primary health services,analyze its influencing factors,so as to promote the residents'active health behaviors.Methods Through literature research and expert consultation,the scale of residents'active use of primary health services was designed from four dimensions of communication and dialogue,service acquisition,process trust and result feedback,and used to measure the active use of primary health services by residents aged 60 and above.Multiple linear regression was used to analyze the influencing factors of residents'active use of primary health services.Results The test level of the whole scale and each item was consistent with the theoretical conception.The total score of residents'active use of primary health services was(47.67±8.83).Among the four dimensions,the score of process trust behavior was the highest,while the score of communication and dialogue behavior was the lowest.The results of regression analysis showed that the current residence,the number of people living in a household and the type of household registration were statistically different from the ac-tive use of primary health services by residents.Conclusion The scale has good reliability and validity,which provides a basis for measuring the residents'active use of primary health services.The active use of primary health services by residents is generally normal.Relevant departments should focus on the health needs of residents,optimize the content of primary health services,pay attention to communication with residents.And residents should also cultivate active health concepts and strengthen active health behaviors.

Delphi methodprimary health servicesresidents'active utilizationbehavioral measurement

许兴龙、韦静佳、詹祥

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江苏大学管理学院,江苏省 镇江市 212013

南京医科大学医政学院

德尔菲法 基层卫生服务 居民主动利用 行为测量

2025

中国卫生事业管理
中国卫生事业管理杂志社

中国卫生事业管理

北大核心
影响因子:1.56
ISSN:1004-4663
年,卷(期):2025.42(1)