文章摘要
韩相如,吴 怡,钱东福,潘 睿.农村签约家庭医生的慢性病患者主观幸福感研究[J].南京医科大学学报(社会科学版),2021,(4):339~344
农村签约家庭医生的慢性病患者主观幸福感研究
Study on the subjective well⁃being of patients with chronic diseases signed with rural family doctors’ services
投稿时间:2020-12-07  
DOI:doi:10.7655/NYDXBSS20210406
中文关键词: 慢性病  主观幸福感  WHO⁃5幸福感指数
英文关键词: chronic diseases  subjective well⁃being  WHO⁃5 well⁃being index
基金项目:国家自然科学基金面上项目“基于服务质量差距模型的农村家庭医生签约服务质量追踪评价与改进策略研究”(71874085)
作者单位
韩相如 南京医科大学医政学院 江苏 南京 211166 
吴 怡 南京医科大学医政学院 江苏 南京 211166 
钱东福 南京医科大学医政学院 江苏 南京 211166 
潘 睿 江苏省卫生健康委员会 江苏 南京 210008 
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中文摘要:
      为评估农村地区签约家庭医生的慢性病患者主观幸福感水平,探讨其主观幸福感的主要影响因素,2019年7月本课题组在江苏省苏南、苏中、苏北选取3个县(区)采用典型抽样与分层整群抽样相结合的方式对农村家庭医生签约重点对象的基本信息、签约服务质量评价、慢性病门诊、住院费用、健康行为和健康结果进行调查。调查对象1 740人,患高血压1 204人(69.2%),患糖尿病299人(17.2%),其他慢性病患者237人(13.6%);调查对象中70人(4.0%)“幸福感较低”,208人(11.9%)“幸福感减弱”,1 466人(84.1%)“感到幸福”。调查地区总体主观幸福感水平较高。主观幸福感影响因素的Logistics回归模型显示,来自苏南地区、疾病负担较低、心理指导频率较高、签约服务质量较高、健康状况较好的调查对象,主观幸福感水平较高。提示政府部门落实健康政策与养老服务,完善医疗保障体系建设,提升家庭医生签约服务质量,有针对地提升慢性病患者主观幸福感。
英文摘要:
      To evaluate the subjective well?being of chronically ill patients with contracted family doctors in rural areas and explore the main influencing factors of their subjective well?being,aquestionnaire survey was conducted in three counties(districts) of southern, central and northern Jiangsu Province in July 2019 by combining typical sampling with stratified cluster sampling. The socio?economic characteristics, contracted service quality evaluation, outpatient and inpatient expenses of chronic diseases,health behavior, and health outcomes of key participants were investigated. A total of 1 740 participants were included in the current study,of whom 1 204(69.2%) were suffering from hypertension, 299(17.2%) were suffering from diabetes, and 237 (13.6%) were suffering from other chronic diseases. Of all the participants, 70(4.0%) people were of “low?level happiness”, 208(11.9%) showed “weakened happiness”, and 1 466(84.1%) felt“happy”. The overall subjective well?being of the surveyed areas was relatively high. Logistics regression analysis were used to analyze main factors influencing subjective well?being, which showed that the participants whose living area was southern Jiangsu, burden of chronic disease was low, frequency of psychological guidance was high, quality of contracted services was high, and health status was well, had high level of perceived subjective well?being. It is suggested that the regional government should implement health policies and aging care services,improve the construction of the medical security system, and improve the quality of family doctors’contracted services, so as to improve the subjective well?being of patients with chronic diseases purposefully.
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