Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 975-978
HUANG Jiao-ling, CUI Ya-qi, HAO Yu, LIU Tie-xin, TAN Xin-chen, YANG Yong-hua, MA Xiao-jun, LIN Jie, YU Wen-ya, WANG Zhao-xin. Analysis of community health service utilisation for young and middle-aged building population in Beiwaitan Street, Shanghai[J]. Chinese Journal of General Practice, 2021, 19(6): 975-978. doi: 10.16766/j.cnki.issn.1674-4152.001964
Citation: HUANG Jiao-ling, CUI Ya-qi, HAO Yu, LIU Tie-xin, TAN Xin-chen, YANG Yong-hua, MA Xiao-jun, LIN Jie, YU Wen-ya, WANG Zhao-xin. Analysis of community health service utilisation for young and middle-aged building population in Beiwaitan Street, Shanghai[J]. Chinese Journal of General Practice, 2021, 19(6): 975-978. doi: 10.16766/j.cnki.issn.1674-4152.001964
shu

Analysis of community health service utilisation for young and middle-aged building population in Beiwaitan Street, Shanghai

doi: 10.16766/j.cnki.issn.1674-4152.001964
  • 1.

    School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Funds:

 71904145

 71774116

  • Received Date: 2020-06-10
    Available Online: 2022-02-16
    Abstract
  •   Objective  To explore the current status of community health service utilisation among young and middle-aged population and analyse the main factors affecting visits to community health service center (CHSC).   Methods  From August to September in 2019, A questionnaire survey was conducted on Beiwaitan Street in Shanghai. A total of 1040 questionnaires were distributed, and 993 valid questionnaires were recovered. After controlling for the characteristics of the sample, this study examined the effects of socioeconomic status, health status, basic medical insurance, family doctor contract status and family doctors' cognitive status of the young and middle-aged population on their CHSC visits.   Results  The proportion of young and middle-aged population who visited CHSC was 40.72%, and the main services used was basic diagnosis and treatment (73.82%). The logistic regression results showed that compared with the population of primary school or below, the visit probabilities of populations with junior school, high school, undergraduate and master education levels were 72.1%, 37.1%, 32.8% and 26.9% (all P < 0.05), respectively. The OR for population without non-communicable diseases was only 38.4% of that for NCD patients (P < 0.05). The probability of community visits was higher for those covered by social medical insurance (OR=2.385, P < 0.05). The probability of community visits for those who were in contract with a family doctor was 3.701 times that of those who did not sign up (P < 0.05). The higher the level of their awareness of family doctor, the higher the probability of community visits (P < 0.05).   Conclusion  Basic outpatient clinics are the mainstay for young and middle-aged population. Socioeconomic status, health status, basic medical insurance, family doctor contract status and family doctors' awareness are significant factors that affected young and middle-aged population's community visits. The attention paid to this population currently is much lower than that paid to key populations such as the elderly. This study recommends that attention and research on the young and middle-aged population should be strengthened and that contract management suitable for this population should be developed.

     

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