摘要目的掌握金华农村居民和医生的基层首诊认知、意愿及影响因素，为推进基层首诊制度建设提供依据。方法选取永康市、武义县、浦江县的乡镇卫生院、村卫生室及附近农村居民，采用分层抽样法，现场调查600名居民和250名医生，采用非参数检验对农村居民和医生的基层首诊认知、意愿做单因素分析，多元逐步回归分析其首诊认知、意愿的主要影响因素及影响程度。结果农村居民和医生对基层首诊的知晓率分别为74。6%、72。4%，农村居民家到最近医疗机构的距离和基层医生的工作强度是基层首诊认知的最大影响因素；农村居民和医生的基层首诊意愿率分别为68。0%、68。8%，农村居民首诊意愿最大的影响因素是就诊环境，基层医生首诊意愿最大的影响因素是首诊概念认知。结论建议从提升农村居民和医生首诊认知、医生主动上门服务、培养全科医生、建立合理的薪酬制度、适当扩大医保报销比例差距等方面推进农村地区基层首诊工作。88312

毕业论文关键词    农村居民    基层医生    基层首诊    认知    意愿   

Abstract Purpose To master the cognition, willingness and influencing factors of rural residents and doctors in Jinhua, to provide basis for promoting the construction of the first diagnosis system。 Method Yongkang, Wuyi, Pujiang township hospitals, village clinics and nearby rural residents were selected, adopt Stratified Sampling Method, field surveys were conducted on 600 rural residents and 250 doctors, Non Parametric Test was used to analyze the primary cognition of rural residents and doctors, and the willingness to do single factor analysis, Multiple Stepwise Regression Analysis was used to analyze the primary cognitive factors, the main influencing factors and the influence degree。 Result The awareness rates of rural residents and doctors on first visit were 74。6% and 72。4% respectively, the distance from rural residents to medical institutions and the work intensity of primary doctors is the biggest influencing factor; the first intention rate of rural residents and doctors was 68% and 68。8% respectively, the most influential factor of rural residents' willingness to go first is the visiting environment, and the most important influencing factor of doctors is the concept cognition of first visit。 Conclusion Suggestions from the promotion of rural residents and doctors attending the first doctor cognition, active site service, training of general practitioners, to establish a reasonable salary system, appropriate to expand the proportion of Medicare reimbursement gap and promote the first consultation work at the grass-roots level in rural areas。

Keywords    Rural residents    Grassroots doctor    First visit at the grassroots level    Cognition    Desire

目录

1数据来源与研究方法 5

1。1文献研究法 5

1。2问卷调查法 5

1。2。1研究对象与抽样方法 5

1。2。2样本量 5

1。3数据分析法 5

1。4技术路线图 6

2结果与分析 7

2。1基本情况 7

2。1。1农村居民源-于,优W尔Y论L文.网wwW.youeRw.com 原文+QQ75201,8766基本情况 7

2。1。2基层医生基本情况 7

2。3农村居民和医生基层首诊认知现状及影响因素分析