Association between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients: A multicenter cross-sectional study in China

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-10-09 DOI:10.1016/j.cegh.2024.101813

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引用次数: 0

Abstract

Objective

This study examines the relationship between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients in China.

Methods

A multi-stage sampling scheme was used to select the rehabilitation outpatients as study participants. A total of 3415 participants from 21 medical institutions in seven cities in China were included in the final analysis. The measurement included primary healthcare visits, health communication on integrated healthcare, and basic characteristics (age, sex, educational level, marital status, household income, and diagnoses). The association between health communication on integrated healthcare and primary healthcare visits was modeled using logistic regression controlling the general characteristics and disease status.

Results

Among 3415 rehabilitation outpatients, the mean age of participants was 45.3 years (SD:24.9), and more than half (54.0 %) were male. The majority (56.3 %) were diagnosed with orthopaedic disorders. Received information of integrated healthcare from organizational communication (OR = 2.00; 95 % CI = 1.56, 2.56) and interpersonal communication (OR = 6.03; 95 % CI = 2.49, 14.62), patients who had a higher level of knowledge on integrated healthcare (OR = 1.02; 95% CI = 1.00, 1.03), the interaction terms of ‘organizational communication ∗ knowledge’(OR = 0.98; 95 % CI = 0.97, 1.00), and ‘interpersonal communication ∗ knowledge’(OR = 0.92; 95 % CI = 0.87, 0.97) were associated with visiting primary healthcare initially when had an illness the last two weeks.

Conclusion

This study indicated that rehabilitation outpatients display a low level of primary healthcare visits, calling for interpersonal-based health communication interventions to be implemented to improve their integrated healthcare knowledge and promote better primary healthcare visits practices in China.

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康复门诊患者中综合医疗保健健康传播与初级医疗保健就诊之间的关系：中国多中心横断面研究

本研究探讨了中国康复门诊患者中综合医疗保健健康传播与初级医疗保健就诊之间的关系。方法采用多阶段抽样方案选择康复门诊患者作为研究对象。研究采用多阶段抽样方法，从中国 7 个城市的 21 家医疗机构中选取了 3415 名康复门诊患者作为研究对象。测量内容包括初级保健就诊情况、整合医疗的健康传播情况和基本特征（年龄、性别、教育程度、婚姻状况、家庭收入和诊断）。结果在 3415 名康复门诊患者中，参与者的平均年龄为 45.3 岁（SD：24.9），一半以上（54.0%）为男性。大多数（56.3%）被诊断为骨科疾病。从组织沟通（OR = 2.00; 95 % CI = 1.56, 2.56）和人际沟通（OR = 6.03; 95 % CI = 2.49, 14.62）中获得综合医疗信息的患者，对综合医疗有较高了解的患者（OR = 1.02; 95 % CI = 1.00, 1.03）、"组织沟通 ∗ 知识"（OR = 0.98; 95 % CI = 0.97, 1.00）和 "人际沟通 ∗ 知识"（OR = 0.结论本研究表明，康复门诊患者的初级卫生保健就诊率较低，因此需要实施基于人际沟通的健康传播干预措施，以提高他们的综合卫生保健知识水平，促进中国初级卫生保健就诊率的提高。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.