w88yes:w88yes,earth,Hao,Make,sure,tha:On earth, I am Su Hao Make sure that there will be a god who will lead the team, but this little guy ran to stop me Abstract: Objective To understand the awareness and influencing factors of residents in Zhejiang Province on basic public he
On earth, I am Su Hao
Make sure that there will be a god who will lead the team, but this little guy ran to stop me
Abstract: Objective To understand the awareness and influencing factors of residents in Zhejiang Province on basic public health service projects. In 2015, the method adopted multi-stage stratified sampling method and selected 8 counties (cities, districts) in Zhejiang Province according to the level of economic development. 2 towns (streets) were selected from each of them, and then one community (natural village, neighborhood committee) was selected from each township (street) to conduct a questionnaire survey on the general demographic characteristics of residents and the basic public health service project. Results A total of 1,500 questionnaires were distributed and 1,498 valid questionnaires were collected. The effective rate of recovery was %. The overall awareness rate of basic public health services for residents surveyed was %; among them, the awareness rate of health management services for the elderly was the highest, %; The awareness rate of disease patients' health management and Chinese medicine health management service items was low, respectively, % and %. Multivariate logistic regression analysis showed that age, household registration, type of medical insurance and annual household income were the overall awareness rate of basic public health service items. Influencing factors. Conclusions The awareness level of basic public health service projects in Zhejiang residents has increased, but the awareness rate of floating population is generally low, Chinese medicine The awareness rate of health management services for patients with health care and severe mental illness is low. Key words: basic public health service project; knowledge; influencing factors implementation of national basic public health service project (basic health project) is one of the new medical reform programs The important content is to promote the equalization of basic public health services and improve the fairness and accessibility of all residents to access basic public health services. It is also an important part of China's public health system construction . Zhejiang Province in 2005 Three major categories of 12 rural public health service projects were implemented across the province. In order to understand the effects and problems of the development of basic health projects in Zhejiang Province, the Zhejiang Provincial Center for Disease Control and Prevention investigated 8 counties (cities, districts) in 2015. The residents' knowledge of the basic security project and its influencing factors are reported as follows. 1 Objects and method objects adopt multi-stage stratified sampling method, firstly, according to the level of economic development, 90 counties (cities, districts) in Zhejiang Province are divided. For 4 levels, combined with geographical and humanistic environment, select 2 counties (cities, districts) in each level, and select Xiacheng District, Yiwu City, Luqiao District, Haining , 8 counties (cities, districts) of Cangzhou City, Jiangshan City, Yongjia County and Jingning County, each county (city, district) randomly selects 2 towns (streets), and each town (street) randomly selects 1 community ( Natural villages and neighborhood committees, according to the voluntary principle, carry out household surveys of selected community residents, and require at least 160 people in each county (city, district). The method is based on the specific contents of the 2014 National Basic Public Health Service Project . Based on the literature, the questionnaires are combined with the actual work of Zhejiang Province. The contents include general demographic characteristics, general knowledge of the basic health projects and ways of knowing, and various items (including health education, resident health records, vaccination, child health management, Maternal health management, health management for the elderly, health management for patients with hypertension, health management for patients with type 2 diabetes, health management for patients with severe mental illness, and health management of Chinese medicine, etc. Conduct face-to-face surveys, and the questionnaires will be reviewed and collected on the spot. The overall awareness rate of research indicators for the basic health care program: ask residents whether they know that the state provides basic public welfare to urban and rural residents. Total health service items, the answer is known, the awareness rate (%) = the number of people who know / the number of people surveyed × 100%. The awareness rate of each item (%) = the number of people known in the project / the number of people surveyed × 100%, each resident can know Multiple services. Knowing ways: Everyone who knows the basic security project needs to choose the route of knowledge, and can make multiple choices. The proportion of each knowledge channel is known (%) = the number of people known through this route / the total number of people known × 100% Statistical analysis was carried out using a database, using Excel2007 and software statistical analysis. The comparison of the awareness rate was performed by X} test. The influencing factors of each service awareness rate were analyzed by multivariate logistic regression analysis. The test level a=Results The basic situation was a total of 1500 questionnaires. 1,498 valid questionnaires were collected, and the effective rate of recovery was %. Among them, 560 were males and 938 were females, male to female ratio 1: age 18 to 92 years old, average (person) years old; education level was mainly primary school and below, accounting for % The undergraduate and above accounted for only %; the household registration was mainly local, accounting for %; the occupation was mainly farmers, accounting for %; the type of medical insurance was mainly Xinnonghe, accounting for %; in 2014, the annual household income was 60,000 yuan. See Table 1}; the basic security project and the awareness rate of each project among the 1498 respondents 1259 people, the overall awareness rate is %; knowing that the basic health service is free of 1,225 people, the awareness rate is %. The age-awareness rate of the respondents of different ages, education levels, household registration, occupation, medical insurance type and family annual income is relatively high. The differences were statistically significant (), see Table 1}; the awareness rate of each item was from high to low for the health management of the elderly, % of health management of hypertension patients, % of health education, % of vaccination, % of residents' health records, 2 Multi-factor Logistic regression analysis of the factors affecting the health management of patients with type 2 diabetes, % of child health management, % of maternal health management, health management of patients with severe mental illness, and Chinese medicine health management The knowledge of the Xiangjiwei project is the dependent variable ((0 no, 1= yes, both by age, education level, household registration, occupation, medical insurance type (new rural cooperative medical insurance and urban residents medical insurance combined into urban and rural residents medical insurance, commercial insurance and self-pay Multi-factor Logistio regression analysis (.2,. The influencing factors of the basic health awareness project; although the influencing factors of the project awareness rate are slightly different, the household registration is the influencing factor of all project awareness, that is, relative to the floating population, the household registration is a local factor for the residents to know the basic security project. See Table 2}; The base guard project knows that among the 1259 residents who know the basic health program, % are promoted by doctors; % through newspapers and television; % through family and friends; % through flyers, posters; % through the Internet; % through other channels. 3 Discussion to understand the level of knowledge of residents on the basic security project can reflect the overall effectiveness and equalization level of the implementation of the basic health project. The survey results show that the overall awareness rate of residents in Zhejiang Province on the basic security project is %, compared with the 2015 survey.  The improvement is also higher than the awareness rate of residents in Xiamen , but lower than the awareness rate of residents in Linyi District, Zibo City, Shandong Province . Different from the similar research [4-6] results. With the increase of age, the awareness rate of residents in Zhejiang Province on the basic security project is on the rise, and the awareness rate of the residents of primary school and below is higher. To a certain extent, the elderly population does not understand the status quo of the basic health project in Zhejiang Province. Changed. Local household registration knows The rate is higher than that of the floating population, which is consistent with the research by Guo Jing et al. . The awareness rate of residents participating in the new rural cooperative medical insurance and urban residents' medical insurance is higher than that of other types of medical insurance residents, and contact with local residents to promote the use of primary health care institutions. The probability of the project is relatively high. The awareness rate of the basic health projects of residents with different income levels is different, and the awareness rate is above 73%. In the past, there were many people with high incomes who visited the large hospitals and the low awareness rate of the basic health projects. The change means that the awareness rate of the whole population has increased, and the level of public health equalization has been further improved. From the awareness rate of individual projects, the awareness rate of health management services for the elderly is the highest, compared with He Shasha et al  and Zhou Xinchi. The special surveys conducted by  have been improved, which is related to the annual increase in the health checkup coverage of the elderly in Zhejiang Province in recent years. The awareness rate of health management services for patients with severe mental illness is low, on the one hand due to the seriousness Patients with mental illness account for a small proportion of special groups (the prevalence of severe mental illness in China in 2013) , residents lack understanding of the service content of special populations; There is a shortage of this service in Zhejiang Province. The awareness rate of Chinese medicine health management service projects is the lowest, which is related to the attention of institutional leaders and the lack of responsibility of health care doctors. It is also related to the serious shortage of TCM personnel in grassroots institutions, suggesting that relevant departments should pay attention to the grassroots. The establishment of Chinese medicine in health institutions and the cultivation of talents. In addition, as a key population of children and pregnant women, the awareness rate of corresponding health management service projects is less than 80%, indicating that all primary medical institutions need to strengthen their understanding of maternal and child health management services. Do a good job in related work. Among the influencing factors of the awareness rate of each project, the local household registration is the promotion factor for the residents to know the basic security project. The floating population has a lower awareness rate of each target than the local population. Compared with non-farmers, the farmers are healthy. The awareness rate of education, resident health records and Chinese medicine health management services is lower. With the increase of age, the awareness rate of residents on vaccination, child health management and maternal health management services is declining, but for the elderly Health management, health management of hypertensive patients, and awareness rate of health management services for type 2 diabetes patients are increasing The high annual household income has a high awareness rate of vaccination, health management of hypertension patients, health management of type 2 diabetes patients, and Chinese medicine health management service programs. This has a direct relationship with different project service targets, and also suggests different populations. It is necessary to focus on targeted education, fundamentally improve residents' awareness of the basic health projects, and promote residents to make rational use and fully enjoy basic public health services. The main channels for residents to obtain basic health projects are doctors' propaganda, which is related to Liu Hui, etc.  The survey results are consistent, and the results are different from Zhou Aiqing et al. . With the development of information technology, mobile phones, the Internet and television have gradually replaced newspapers and leaflets into mainstream media, but in the basic security project. The propaganda did not achieve the expected results. It is recommended to increase the communication intensity based on the traditional communication mode, combined with mobile network technology and various information publishing platforms (SMS, WeChat public number, etc.), and do a good job in health education for grassroots medical institutions. The setting of the column, the rolling publicity of the electronic screen, and the regular health knowledge lectures, etc. The awareness of the basic health project led the residents to actively participate in the basic health project. The survey found that while the Zhejiang Foundation Health Project is developing steadily, there are still many shortcomings in the health management of Chinese medicine and the health management of patients with severe mental illness. At the same time, it is necessary to strengthen the health management services for key populations such as children and pregnant women. Apply multi-channel and publicity projects for different groups of people to improve the awareness and utilization level of residents' basic security projects. References  Qin Huaijin, Chen Bowen. Technical Specifications for National Basic Public Health Services [M]. Beijing: People's Medical Publishing House, 2013.  National Health and Family Planning Commission of the People's Republic of China. Notice on Doing a Good Job of the National Basic Public Health Service Project in 2014 [ EB/OL].[2014-10-08]. Shang Xiaopeng, Wang Wei, Qiu Yinwei, et al. Survey on awareness rate of basic public health service projects by urban and rural residents in Zhejiang Province [J].Zhejiang Preventive Medicine, 2016, 28(1): 93-95.  Shen Dongping, Zheng Xiaoting, Hu Yuhua, et al. Investigation and analysis of the awareness and satisfaction of residents in Xiamen on basic public health services[J]. Chinese Community Journal, 2014, 30(28) :163-164.Wang Ying.Linyi District Implementation Base Public Health Service Project Status Assessment Survey [D]. Jinan: Shandong University, 2014.  Liu Hui, Ding Guowu. Analysis of the awareness and satisfaction of basic public health services among residents of 5 counties (districts) in Gansu Province [J]. 重庆医学, 2016, 45(11): 1539-1541.  Guo Jing, Shao Fei, Fan Hui, et al. Analysis of accessibility and influencing factors of basic public health services for floating population [J]. China Health Policy Research, 2016, 9(8): 75-82.  He Shasha, Wei Li, Feng Zhanchun. Analysis of the influencing factors of the use of basic public health services for rural elderly in China under the goal of equalization[J].China Health Economics,2012,31(8) ): 42-44.  Zhou Xinchi, Wang Yue, Niu Hongjun, et al. Current status of health management services for the elderly in basic public health services in Zhejiang Province [J]. Chinese Journal of Gerontology, 2015, 35(9): 2528-2529.  People's Daily. The National Health and Family Planning Commission released the prevalence of severe mental illness in China. The management of more than 5.3 million people [EB/OL].[2013-10-10]. Zhou Aiqing, He Fei. Yandu District understanding of basic public health services and resident satisfaction survey [J] Jiangsu health care, 2013,15 (1): 35-36 author: fly Skynet All rights reserved. The author and the original source and this statement must be indicated in the form of a link when reprinting.
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