医防融合背景下河南省基本公共卫生服务知晓率与满意度分析

刘雅慧; 卫姝帆; 王雯娟; 王瑞; 曾泓辑; 田庆丰

doi:10.16766/j.cnki.issn.1674-4152.004431

医防融合背景下河南省基本公共卫生服务知晓率与满意度分析

doi: 10.16766/j.cnki.issn.1674-4152.004431

郑州大学公共卫生学院, 河南郑州 450001

基金项目:

国家重点研发计划资助项目 2020YFC2006100

详细信息

通讯作者:
田庆丰，E-mail：zzutqf@126.com

中图分类号: R193 R197.6
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- 文章访问数: 16
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- 被引次数: 0
出版历程
- 收稿日期: 2024-10-22
- 网络出版日期: 2026-06-02

Analysis on the awareness rate and satisfaction of basic public health services in Henan province under the background of medical preventive integration

School of Public Health, Zhengzhou University, Zhengzhou, Henan 450001, China

摘要

摘要: 目的探究在医防融合背景下河南省居民的基本公共卫生服务知晓率与满意度情况。方法于2023年12月随机抽取19~64岁一般常住居民以及重点人群进行电话访问，对居民基本公共卫生服务知晓率与满意度进行单因素分析与多因素分析。结果 19~64岁一般常住居民总体知晓率(知晓得分率)为89.0%(4 455/5 006)，女性知晓率高于男性，S1地区总体知晓率最高(P < 0.05)。多元线性回归分析结果显示，性别、地区是居民总体知晓率的影响因素(P < 0.001)。重点人群对项目服务的总体满意度为92.8%(5 365/5 784)，男性满意度高于女性，65岁以上老年人和S3地区总体满意度最高(P < 0.05)。多元线性回归分析结果显示，年龄、重点人群类型是居民对项目服务的总体满意度的影响因素(P < 0.001)。结论河南省居民对国家基本公共卫生服务项目总体知晓率和满意度均有较大提升，应继续充分发挥医防融合视域下基本公共卫生服务利用的最大效能，促进基本公共卫生服务不断向前发展。
- 国家基本公共卫生服务项目 /
- 医防融合 /
- 知晓率 /
- 满意度 /
- 河南
Abstract: Objective To explore the awareness rate and satisfaction of basic public health services of residents in Henan Province in the background of medical preventive integration. Methods General residents aged 19-64 years and key groups were randomly selected for telephone interviews in December 2023, and the awareness rate and satisfaction of basic public health services of residents were analyzed by univariate and multivariate analysis. Results The overall awareness rate (awareness scoring rate) of general residents aged 19-64 years was 89.0% (4 455/5 006). The awareness rate of women was higher than that of men, and the overall awareness rate of S1 was the highest (P < 0.05). Multiple linear regression analysis showed that gender and region were the influencing factors of the overall awareness rate of residents (P < 0.001). The overall satisfaction of the project service in the key groups was 92.8% (5 365/5 784). The satisfaction of males was higher than that of females, and the overall satisfaction of people over 65 years old and the S3 area was the highest (P < 0.05). The results of multiple linear regression analysis showed that age and types of key groups were the influencing factors of residents' overall satisfaction with the project services (P < 0.001). Conclusion The overall awareness rate and satisfaction rate of the national basic public health services among the residents in Henan Province are at a high level. We should give full play to the maximum efficiency of the utilization of basic public health services from the perspective of medical prevention integration, and promote the continuous development of basic public health services.
- National basic public health service projects /
- Medical prevention integration /
- Awareness rate /
- Satisfaction /
- Henan Province

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表 1 不同特征调查对象对国家基本公共卫生服务项目的知晓率情况比较(n=5 006)

Table 1. Comparison of the awareness rate of national basic public health services among respondents with different characteristics (n=5 006)

基本特征	例数(%)	知晓率得分(x±s，分)	统计量	P值
性别			2.559^a	0.011
男性	1 841(36.8)	88.83±3.63
女性	3 165(63.2)	89.09±3.08
户籍			0.552^a	0.581
农村	3 157(63.1)	89.01±3.29
城市	1 849(36.9)	88.96±3.31
地区			65.117^b	< 0.001
S1	1 137(22.7)	89.78±1.37
S2	1 369(27.3)	89.46±2.20
S3	1 250(25.0)	88.17±4.45
S4	1 250(25.0)	88.60±3.88
年龄(岁)			2.565^b	0.053
18~30	911(18.2)	89.19±2.86
31~45	1 264(25.2)	89.05±3.13
46~55	1 233(24.6)	88.80±3.72
>55	1 598(31.9)	88.99±3.30
注：^a为t值，^b为F值。

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表 2 不同特征重点人群对公共卫生服务满意度情况比较(n=5 784)

Table 2. Comparison of satisfaction with public health services among key populations with different characteristics (n=5 784)

基本特征	例数(%)	满意度得分(x±s，分)	统计量	P值
性别			2.801^a	0.005
男性	1 799(31.1)	93.03±3.16
女性	3 985(68.9)	92.66±5.88
常住地			1.862^a	0.063
农村	4 863(84.1)	92.75±5.27
城市	921(15.9)	93.03±3.67
年龄(岁)			41.076^b	< 0.001
18~30	1 436(24.8)	92.11±8.23
31~45	1 054(18.2)	92.21±7.28
46~55	823(14.2)	92.38±2.69
56~64	1 292(22.3)	92.32±2.71
≥65	1 179(20.4)	94.39±3.30
地区			7.078^b	< 0.001
S1	1 195(20.7)	92.84±5.15
S2	1 590(27.5)	92.37±5.04
S3	1 499(25.9)	93.29±5.13
S4	1 500(25.9)	92.73±4.71
重点人群分类			41.697^b	< 0.001
孕产妇	1 134(19.6)	92.46±5.89
0~6岁儿童家长	1 134(19.6)	92.22±8.53
65岁及以上老年人	1 146(19.8)	94.49±3.26
高血压患者	1 170(20.2)	92.25±2.75
糖尿病患者	1 200(20.7)	92.35±2.69
注：^a为t值，^b为F值。

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表 3 基本公共卫生服务知晓率多元线性回归分析

Table 3. Multivariate linear regression analysis of basic public health service awareness rate

变量	B	SE	β	t值	P值
性别	0.302	0.096	0.044	3.222	0.001
地区	-0.489	0.042	-0.163	-11.643	< 0.001
注：变量赋值如下，性别：男性=1，女性=0；地区：S1=1，S2=2, S3=3, S4=4。

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表 4 基本公共卫生服务满意度多元线性回归分析

Table 4. Multivariate linear regression analysis of basic public health service satisfaction

变量	B	SE	β	t值	P值
性别	-0.082	0.163	-0.008	-0.499	0.618
年龄	0.628	0.058	0.176	10.831	< 0.001
地区	0.059	0.066	0.013	0.897	0.370
重点人群分类	-0.452	0.071	-0.103	-6.402	< 0.001
注：变量赋值如下，性别：男性=1，女性=0；年龄：18~30岁=1，31~45岁=2，46~55岁=3，56~64岁=4，≥65岁=5；地区：S1=1，S2=2, S3=3, S4=4；重点人群分类：孕产妇=1，0~6岁儿童家长=2，65岁及以上老年人=3，高血压患者=4，糖尿病患者=5。

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表 5 基本公共卫生服务项目知晓情况[例(%)]

Table 5. Awareness of basic public health services programs [cases(%)]

项目	例数	建立居民健康档案	健康教育	预防接种	儿童健康管理	孕产妇健康管理	老年人健康管理
常住地
农村	3 157	3 157(100.0)	3 152(99.8)	2 412(76.4)	2 392(75.8)	2 345(74.3)	2 294(72.7)
城市	1 849	1 849(100.0)	1 833(99.1)	1 412(76.4)	1 403(75.9)	1 357(73.4)	1 383(74.8)
χ²值			13.951	0.001	0.008	0.478	2.721
P值			< 0.001	0.999	0.945	0.505	0.104
性别
男性	1 841	1 841(100.0)	1 828(99.3)	1 396(75.8)	1 418(77.0)	1 399(76.0)	1 357(73.7)
女性	3 165	3 165(100.0)	3 157(99.7)	2 428(76.7)	2 377(75.1)	2 303(72.8)	2 320(73.3)
χ²值			5.727	0.506	2.341	6.291	0.099
P值			0.022	0.490	0.132	0.012	0.765
年龄(岁)
18~30	911	911(100.0)	910(99.9)	698(76.6)	661(72.6)	638(70.0)	685(75.2)
31~45	1 264	1 264(100.0)	1 251(99.0)	983(77.8)	958(75.8)	897(71.0)	919(72.7)
46~55	1 233	1 233(100.0)	1 228(99.6)	922(74.8)	920(74.6)	915(74.2)	904(73.3)
>55	1 598	1 598(100.0)	1 596(99.9)	1 221(76.4)	1 256(78.6)	1 252(78.3)	1 169(73.2)
H值			16.630	3.137	12.987	29.184	1.860
P值			0.001	0.371	0.005	0.001	0.602

项目	例数	高血压患者健康管理	糖尿病患者健康管理	中医药健康管理		传染病和公共卫生事件报告和处理	卫生计生监督协管
常住地
农村	3 157	2 378(75.3)	2 476(78.4)	2 353(74.5)		2 779(88.0)	2 208(69.9)
城市	1 849	1 443(78.0)	1 500(81.1)	1 332(72.0)		1 615(87.3)	1 242(67.2)
χ²值		4.766	5.186	3.733		0.506	4.172
P值		0.030	0.025	0.054		0.475	0.043
性别
男性	1 841	1 363(74.0)	1 437(78.1)	1 388(75.4)		1 607(87.3)	1 292(70.2)
女性	3 165	2 458(77.7)	2 539(80.2)	868(27.4)		2 787(88.1)	2 158(68.2)
χ²值		8.470	3.341	4.761		0.639	2.165
P值		0.004	0.070	0.031		0.421	0.145
年龄(岁)
18~30	911	724(79.5)	745(81.8)	677(74.3)		835(91.7)	635(69.7)
31~45	1 264	990(78.3)	1 019(80.6)	918(72.6)		1 113(88.1)	863(68.3)
46~55	1 233	908(73.6)	961(77.9)	900(73.0)		1 061(86.1)	836(67.8)
>55	1 598	1 199(75.0)	1 251(78.3)	1 190(74.5)		1 385(86.7)	1 116(69.8)
H值		14.181	7.119	1.709		18.119	1.853
P值		0.003	0.068	0.635		< 0.001	0.603

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