Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Public Health. 2022 Oct 13;10:970032. doi: 10.3389/fpubh.2022.970032. eCollection 2022.
The patients' attitude is critical in disease control. This study aims to explore the determinants of patients' attitude and satisfaction.
A total of 844 patients in the rural areas of Shandong, Henan, and Sichuan provinces with hypertension or diabetes were randomly selected for investigation. The outcome variables were the patients' attitude and satisfaction toward chronic disease control, which were measured through patient self-reported. Binary logistic regression models were used to explore the determinants of patients' attitude and satisfaction.
Teachers were more likely to regard that chronic disease management was helpful in their chronic disease control than that in farmers (OR = 3.994, 95% confidence interval (CI) = 1.309-12.188). Moreover, the probability of health institutions recording chronic diseases changes and guiding rehabilitation for patients regularly is considered helpful 2.688 times more than those that are not. In addition, receiving chronic disease management services can make patients repute that chronic disease management services are helpful in controlling chronic diseases more capably (OR = 1.582, 95% CI = 2.198-10.771). In terms of satisfaction, patients who do not know regular follow-up tend to be dissatisfied with chronic diseases control result (OR = 0.376, 95% CI = 0.192-0.737; OR = 0.592, 95%CI = 0.417-0.841).
The government increases the promotion of chronic disease management in rural areas to improve patients' awareness. Health institutions also can provide diversified services to meet the needs of more people. At last, paying more attention to the timeliness of health services need to be considered to develop a health plan.
患者的态度对于疾病控制至关重要。本研究旨在探讨患者态度和满意度的决定因素。
本研究共纳入山东省、河南省和四川省农村地区的 844 名高血压或糖尿病患者进行调查。通过患者自我报告，将慢性病控制患者的态度和满意度作为结果变量。采用二元逻辑回归模型探讨患者态度和满意度的决定因素。
与农民相比，教师更倾向于认为慢性病管理有助于控制其慢性病（OR = 3.994，95%置信区间（CI）= 1.309-12.188）。此外，医疗机构记录慢性病变化并定期指导康复的可能性是不记录的 2.688 倍。此外，接受慢性病管理服务可使患者更相信慢性病管理服务能够更有效地控制慢性病（OR = 1.582，95%CI = 2.198-10.771）。在满意度方面，不知道定期随访的患者更有可能对慢性病控制结果不满意（OR = 0.376，95%CI = 0.192-0.737；OR = 0.592，95%CI = 0.417-0.841）。
政府应加强在农村地区推广慢性病管理，以提高患者的认知度。医疗机构也可以提供多样化的服务，以满足更多人的需求。最后，需要考虑卫生服务的及时性，制定卫生计划。
