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首页> 外文期刊>Iranian journal of public health. >Utilization of Rural Primary Care Physicians' Visit Services for Diabetes Management of Public Health in Southwestern China: A Cross-Sectional Study from Patients' View
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Utilization of Rural Primary Care Physicians' Visit Services for Diabetes Management of Public Health in Southwestern China: A Cross-Sectional Study from Patients' View

机译：西南地区农村基层医疗医师就诊服务在糖尿病公共卫生管理中的应用：从患者角度出发的跨部门研究

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Background: Primary care physicians' visit services for diabetes management are now widely delivered in China's rural public health care. Current studies mainly focus on supply but risk factors from patients' view have not been previously explored. This study aims to present the utilization of rural primary care physicians' visit services for diabetes management in the last 12 months in southwestern China, and to explore risk factors from patients' view. Methods: This cross sectional study selected six towns at random and all 385 diabetics managed by primary care physicians were potential participants. Basing on the inclusion and exclusion criteria, 374 diabetics were taken as valid subjects and their survey responses formed the data resource of analyses. Descriptive indicators, χ~2 contingency table analyses and Logistic regression were used.Results: 54.8% respondents reported the utilization of visit sendees. According to the multivariate analysis, the positive factors mainly associated with utilization of visit services include disease duration (OR=1.654), use of diabetic drugs (OR=1.869), consulting diabetes care knowledge (OR=1.602), recognition of diabetic complications (OR= 1.662), needs of visit services (OR=2.338).Conclusion: The utilization of rural primary care physicians' visit services still remains unsatisfactory. Mass rural health policy awareness, support, and emphasis are in urgent need and possible risk factors including disease duration, use of diabetic drugs, consulting diabetes care knowledge, recognition of diabetic complications and needs of visit services should be taken into account when making rural health policy of visit services for diabetes management in China and many other low- and middle-income countries.
机译：背景：中国农村公共卫生保健中现已广泛提供用于糖尿病管理的初级保健医师上门服务。当前的研究主要集中在供应上，但是以前没有从患者角度探讨危险因素。本研究旨在介绍中国西南地区最近12个月农村基层医疗医生就诊服务在糖尿病管理中的利用情况，并从患者的角度探讨危险因素。方法：这项横断面研究随机选择了六个镇，由初级保健医师管理的所有385位糖尿病患者均为潜在参与者。根据纳入和排除标准，将374名糖尿病患者作为有效受试者，他们的调查回答构成了分析的数据资源。采用描述性指标，χ〜2列联表分析和Logistic回归。结果：54.8％的被访者报告了拜访人员的使用情况。根据多变量分析，与上门服务利用相关的主要积极因素包括病程（OR = 1.654），糖尿病药物的使用（OR = 1.869），咨询糖尿病护理知识（OR = 1.602），对糖尿病并发症的认识（ OR = 1.662），门诊服务的需求（OR = 2.338）。结论：农村基层医疗医生的门诊服务利用仍然不令人满意。迫切需要大规模的农村卫生政策意识，支持和重点，可能的风险因素包括疾病持续时间，糖尿病药物的使用，咨询糖尿病护理知识，对糖尿病并发症的认识以及上门服务的需求中国和其他许多中低收入国家的糖尿病管理访问服务政策。

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