"Research on the KAP influencing factors for the ""Three-manager mode"" in hierarchical medical system for chronic diseases"
10.3760/cma.j.issn.1000-6672.2017.06.003
- VernacularTitle:"慢性病分级诊疗""三师共管""知信行影响因素分析"
- Author:
Yanbing ZENG
;
Fan CHEN
;
Jielong WU
;
Lele CHEN
;
Wei SUN
;
Ya FANG
- Keywords:
Community residents;
Chronic diseases;
Hierarchical medical system;
Three-manager mode;
Influencing factors
- From:
Chinese Journal of Hospital Administration
2017;33(6):408-413
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors for knowledge,attitude and practice(KAP)of the Three-manager mode about hierarchical medical system of Chronic diseases of the community residents in Xiamen,and provide references for the implementation of hierarchical medical system.Methods Multi-stage random sampling method was adopted,and 400 residents were randomly sampled from 5 communities of Xiamen for questionnaire survey.The survey features the dependent variable of the community residents′ knowing and joining-in the Three-manager mode,the internal factors(social demographic characteristics),and the external factors(medical expenditure and healthcare insurance).On such basis,four logistic regression models were built for analysis of such influencing factors.Results 41.10% of the surveyed were aware of the Three-manager mode,and 39.71% of the hypertension/diabetes patients among them joined in the hypertension network or diabetes network.Age,education,medical expenditure and referral experiences were significant influencing factors for KAP level of the Three-manager mode,while the residents of older age,higher education and referral experiences were high in their KAP;those of lower per capita monthly income,hypertension or diabetes,with coverage of medical insurance and satisfied with medical consultation in community were high in their awareness of Three-manager mode.Conclusions The KAP level of Three-manager mode of the community residents in Xiamen is acceptable,yet expected of further improvement.Room of further improvement includes enhancement of synergy of the Three-manager mode,enhanced motivation of government financial support and medical insurance,better service functions of community institutions,and especially the construction of hierarchical medical system.
