摘要目的:通过调查嘉兴市居民家庭医生式服务认知与态度的现状，分析其主要影响因素，为提高嘉兴市居民家庭医生式服务的认知与态度提出积极性建议。方法：通过随机抽样的方法，对嘉兴市1240位居民进行调查。利用描述性分析、卡方检验和logistic回归分析对样本数据进行统计分析。结果：本次调查共发放问卷1240份，回收有效问卷1231份，有效回收率为99。3%。1。认知：39%的居民对家庭医生的选择无学历要求；96。5%的居民认为家庭医生应该经过规范化培训; 服务内容（前五位）分别是 “有健康问题能够随时咨询家庭医生”、“有健康需求时能够及时得到回复”、“帮助预约转诊上级医院”、“对空巢、行动不便的人提供上门服务”、“每年健康体检一次”；服务收费：40。4%的居民认为政府来承担公共卫生服务承担费用，37。5%的居民认为由政府、居民、个人三方承担基本医疗服务费用。2。态度：通过分析发现，家庭人均月收入较低的、患有慢性病的、每年在门诊花费总金额较低的、步行至社区卫生服务机构的时间较短的居民对家庭医生式服务有积极的态度。结论：居民对家庭医生式服务的认知与态度有待提高。对由此提出以下建议：加大宣传力度，充实服务内容；严控家庭医生上岗资格，加强规范化培训；完善政策法规，保障居民就医。89393

毕业论文关键词：家庭医生； 家庭医生式服务； 认知；态度

Abstract Objectives: Through the analysis on the cognition and attitude of family doctor service in Jiaxing, to analyze its main influencing factors and put forward positive suggestions to improve the demand rate of Jiaxing city residents, family doctor service and provide a reference basis for the improvement of family doctor service system。 Methods: A survey was conducted among 1240 residents in Jiaxing city by random sampling。 To statistic and analyze the sample data by using descriptive analysis, chi square test and logistics regression analysis。 Results: A total of 1240 questionnaires were collected, and 1231 were recovered, and the effective recovery rate was 99。3%。 1。Cognition: Residents have no educational qualifications when choosing family doctors； 96。5% residents believe that family doctors should receive standardized training; The service mode of family doctor service(top three)are go to the clinic, home service and telephone consultation; service contents(top five)are “consult a family doctor at any time when having health problems”, “get a reply in time when having health needs”, “providing home service to the empty nest and disabled people”, “providing health check once a year”; service charge:40。4% residents think that the government pays the expenses for the public health service,37。5% think that the government, the residents and the inpidual should pay the basic medical service fee。2。Attitudes: The analysis found that the family per capita monthly income low, suffering from chronic diseases, the total amount of annual cost low, walk to the community health service in outpatient department for a short time to have a positive attitude to the family doctor service。 Conclusions: The cognition and attitude of residents to family doctor service should be improved。 The following suggestions are made: Increase publicity and enrich the content of the family doctor service; Strictly control the qualification of family doctors, strengthen standardized training; Improve policies and regulations to protect residents for medical treatment。

Keyword: family doctor； family doctor service； cognition；attitude

目    录

1引言 7

2研究方法 8