An Investigation On The Community Residents KAP Of Community Health Service Of "District Doctors’ Responsibility System"

ObjectiveCommunity health service model of "district doctors’ responsibility system" in Zhengzhou is different from British general practitioner model and American family physician model, while it integrates the practices of developed countries such as Britain and America. By increasing investment, implementing security policy, integrating resource, establishing rules and regulations, normalizing management, it puts the stress on enriching contents, continuously perfecting and making innovation, and takes the "Eight Innovation", "Three Progresses", "Ten Integrations", map-based positioning and special organizational culture of community health service as a guide to establish a community health service model with Chinese characteristics and Zhengzhou features.Through the investigation of how much the community residents in Hangzhou know about "the responsibility system of medical film", how much they believe it and whether they seek help from it, we can know the basic situation of community residents, the present situation of how much the community residents in Hangzhou know about "the responsibility system of medical film", how much they believe it and whether they seek help from "the responsibility system of medical film" and analyze the factors that influence how much the community residents in Hangzhou know about "the responsibility system of medical film", how much they believe it and whether they seek help from "the responsibility system of medical film"; The relevance between "district doctors’ responsibility system" and each factor is discussed, which provides theoretical basis for improving and developing community health service under the "district doctors’ responsibility system". To learn about the views of community residents in the community health service of "District Doctors’ Responsibility System" and offer reform proposals.MethodsAmong the communities covered by the community health service of "District Doctors’ Responsibility System" in the city of Zhengzhou; choose those with clear community residents awareness and the age is more than 18 who would cooperate with this research after knowing its purpose; The total number of the selected community residents is 305. The survey tool is comprised of the general information questionnaire and the KABP questionnaire of Community Health Service by community residents on "the system of family doctor responsible". The statistical software SPSS18.0 is applied for processing and analyzing the investigation data, and the single-factor analysis is finished by the independent sample test and single-factor variance.ResultsAmong the communities covered by the community health service of "District Doctors’ Responsibility System" in the city of Zhengzhou; choose those with clear community residents awareness and the age is more than 18 who would cooperate with this research after knowing its purpose; The total number of the selected community residents is 305. The survey tool is comprised of the general information questionnaire and the KABP questionnaire of Community Health Service by community residents on "the system of family doctor responsible". The statistical software SPSS18.0 is applied for processing and analyzing the investigation data, and the single-factor analysis is finished by the independent sample test and single-factor variance.Conclusion:1 Description of the respondents’ general data in the investigationThe investigation is conducted among 305 the community residents in Hangzhou, among 138 male residents and 167 female ones, and 186 ones with household in their residence and 119 ones with household not in their residence2 Community residents status present situation of KAP for Community Health Service of the district doctors’ responsibility systemAs the findings indicate, the investigated community residents have got an average score for knowledge that is(24.58±7.51), the one for attitude that is(20.34±8.1); the average score for behavior is(18.64±3.59). Among the investigated community residents, 16.7% of the residents have got less than 10 scores for knowledge; 51.2% have got 10-20 scores; and the residents who have got over 20 scores account for 32.1%Among all community residents surveyed, the scores of investigation about faith are as follows: 17.4 percent of residents’ score is lower than 10, and 51.2% residents gain from 10 to 20; the percent of residents getting more than 21 is 32.816.7% community residents behaviors’ score about the "district doctors’ responsibility system" is lower than 8; 51.8% get 8 to 16; and 31.5% gain more than 17.3 Analysis of factors about residents influencing the Community Health Service of the "district doctors’ responsibility system"As the single-factor analysis shows, different registered permanent residence locations, numbers of chronic disease cases, ages, educational backgrounds, monthly incomes, etc. are the main factors that exert an influence on the community residents’ KAP of community health service of the "District Doctors’ Responsibility System". The scores of KABP of community health service under "District Doctor’s Responsibility System" of those whose hukous are not in the place they live, suffering three or more chronic diseases, between the age of 46 and 60, having never received education higher than primary school and earning 2000 to 3000 yuan per month, are all higher than those of other groups. The differences arise out of statistical significance(P<0.05).Conclusions1. Community residents in Zhengzhou are relatively acquainted with community health service to the "District Doctor’s Responsibility System", which is an above-average level.2. Community residents in Zhengzhou are more acceptant of the community health service of "District Doctor’s Responsibility System", which is above the average level.3. Lots of community residents in Zhengzhou want to seek the help of the community health service under the "District Doctors’ Responsibility System", which is still at a relatively high level. Among those residents, middle-aged and aged people have the most demand for community health service to the "District Doctors’ Responsibility System".4. According to the survey, community residents are acquainted with the community health service under "District Doctors’ Responsibility System", who have extraordinary acceptance and can take advantage of its service very well. The community health service of "District Doctors’ Responsibility System" has excellent prospects for development, which is the trend of primary health care in the future.