{"title":"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","authors":"","doi":"10.1016/j.cegh.2024.101813","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the relationship between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients in China.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>OR</em> = 2.00; 95 % <em>CI</em> = 1.56, 2.56) and interpersonal communication (<em>OR</em> = 6.03; 95 % <em>CI</em> = 2.49, 14.62), patients who had a higher level of knowledge on integrated healthcare (<em>OR</em> = 1.02; 95% <em>CI</em> = 1.00, 1.03), the interaction terms of ‘organizational communication ∗ knowledge’(<em>OR</em> = 0.98; 95 % <em>CI</em> = 0.97, 1.00), and ‘interpersonal communication ∗ knowledge’(<em>OR</em> = 0.92; 95 % <em>CI</em> = 0.87, 0.97) were associated with visiting primary healthcare initially when had an illness the last two weeks.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients: A multicenter cross-sectional study in China\",\"authors\":\"\",\"doi\":\"10.1016/j.cegh.2024.101813\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>This study examines the relationship between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients in China.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>OR</em> = 2.00; 95 % <em>CI</em> = 1.56, 2.56) and interpersonal communication (<em>OR</em> = 6.03; 95 % <em>CI</em> = 2.49, 14.62), patients who had a higher level of knowledge on integrated healthcare (<em>OR</em> = 1.02; 95% <em>CI</em> = 1.00, 1.03), the interaction terms of ‘organizational communication ∗ knowledge’(<em>OR</em> = 0.98; 95 % <em>CI</em> = 0.97, 1.00), and ‘interpersonal communication ∗ knowledge’(<em>OR</em> = 0.92; 95 % <em>CI</em> = 0.87, 0.97) were associated with visiting primary healthcare initially when had an illness the last two weeks.</div></div><div><h3>Conclusion</h3><div>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.</div></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-10-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424003105\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424003105","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Association between health communication on integrated healthcare and primary healthcare visits among rehabilitation outpatients: A multicenter cross-sectional study in China
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.
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.