Diabetic patients’ behaviors and influential factors of using medical and preventative integrated services in Shandong Province: A questionnaire survey

Abstract

Background: Diabetic patients require continuous medical and preventative integrated services. However, due to the separation between "medical care" and "prevention," the use of integrated medical-preventive services for diabetes patients remains inadequate.

Objective: To investigate diabetic patients’ behaviors and influential factors of using medical and preventative integrated services in Shandong Province, and to inform further improvement of related policies and practices.

Methods: A multi-stage stratified random sampling method was used to conduct a questionnaire survey of 600 diabetic patients in Shandong Province. Binary logistic regression model was employed to analyze the influential factors of using medical and preventative integrated services of diabetic patients in Shandong Province.

Results: The participants reported 54.5 % of diabetic patients had better use of using medical and preventative integrated services. Diabetic patients with junior high school education(OR = 1.896), good cognition of medical and preventative integrated services (OR = 5.818), good health beliefs (OR = 2.701), and contracted a family doctor (OR = 2.106) had better use of medical and preventative integrated services (P < 0.05).

Conclusion: Currently, there remains significant room for improvement in using medical and preventative integrated services for diabetic patients in Shandong Province, and it is necessary to continue enhancing medical and preventative integrated services, promoting the family doctor contracting program, and increase the publicity of higher sores of using medical and preventative integrated services and related policies.

Keywords

Diabetic patients / Medical and preventative integrated services / Utilization of health services / Shandong province

Declarations

Not applicable.

Authors' contributions

Conceptualization, F.W.; Methodology, F.W.; Data curation, F.X. and M.X.; Formal analysis, F.X. and M.X.; Funding acquisition, not applicable; Project administration, not applicable; Resources, not applicable; Supervision, Z.Y. and W.H.; Validation, Z.Y. and W.H.; Writing—original draft, F.W.; Writing—review and editing, Z.Y. and W.H. All authors have read and agreed to the published version of the manuscript.

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Declaration of competing interest

The authors declare that they have no competing interests.

Availability of data and materials

Not applicable.

Funding

This research was supported by grants from Institute of State Governance, Shandong University(2020 Ethics Review No 50).

Acknowledgements

Not applicable.

References

[1] Wang B, Ma YB, Guo Q, et al. Analysis of characteristics and influencing factors of treatment outcomes in patients with pulmonary tuberculosis combined with diabetes in Gansu province, 2018-2021. Dis Surveill. 2023:1-9.

[2] Williams R, Karuranga S, Malanda B, et al. Global and regional estimates and projections of diabetes-related health expenditure: results from the international diabetes federation diabetes Atlas. Diabetes Res Clin Pract. 2020; 162:108072.

[3] Yu L, Shi B, Jing HL, et al. Application of integrated management model of medical treatment and prevention in disease control among middle-aged and elderly patients with chronic diseases. Chin Health Stand Manage. 2023; 14(9):80-84.

[4] Gu WY, Jiang MZ, Shen X, et al. Preferences and willingness to pay for integrated medical and preventive services among chronic disease patients based on the superiority measure method. Chin J Soc Med. 2022; 39(6):720-724.

[5] Zhang X. Construction of an Evaluation Index System For the Integration Degree of Community Chronic Disease Prevention and Treatment. Beijing: Beijing University of Chinese Medicine; 2022 [dissertation].

[6] Jiang MZ. Research On Integrated Medical and Preventive Services For Chronic Diseases Based On Health Preference Measurement. Wuhan: Huazhong University of Science and Technology; 2023 [dissertation].

[7] Chen YM. Investigation of Compliance and Its Influencing Factors Among Rehospitalized Diabetes Patients. Central South University: Changsha; 2007 [dissertation].

[8] Cui ZH, Wang HF. Factors influencing the willingness of medical staff in tight-knit county-level medical communities to integrate medical treatment and prevention behaviors. Chin Hosp Manage. 2024; 44(2):40-45.

[9] Pan LY, Chen LX, Li YP. Effect of integrated medical and preventive care on health management outcomes of diabetes patients. Chin Rural Health Serv Admin. 2023; 43(11):825-831.

[10] Wu D, Wang YH, Ge X, et al. Utilization of basic public health services and its influencing factors among the elderly migrant population in China. Med Soc. 2023; 36(3) 43-48 + 55.

[11] Ni Q, Wang ZM, Li Q, et al. Analysis of the current status and influencing factors of basic public health service utilization among migrant populations in Kunshan City. Mod Med. 2023; 51(11):1594-1598.

[12] Ren ZY, Zhang ZG, Guo HL. Correlation between health beliefs and treatment compliance in patients with type 2 diabetes and hypertension. Nurs Res. 2023; 37(24):4482-4486.

[13] Liu SS, Ge M, Jiang P, et al. Impact of family doctor contract services on health-care-seeking behaviors of community residents. Chin Gen Pract. 2018; 21(4):407-410.

[14] He ML, Wang CX, Wang HP, et al. Analysis of the current status and influencing factors of health service utilization among rural patients with multiple chronic diseases in Shandong Province. Chin Health Serv Manage. 2021; 38(12):922-925 935.

[15] Ding WP, Li Z, Tang WX, et al. Analysis of health service needs and utilization among the elderly in urban and rural areas of Yichang City. Med Soc. 2022; 35(5):50-54.

[16] Cao XM, Yang F, Zhang XL, et al. Utilization of health services and its influencing factors among chronic disease patients in the agricultural and pastoral areas of Nanshan. Xinjiang. Med Soc. 2023; 36(5):62-67.

[17] Han LJ, Ouyang W. Factors influencing the utilization of home and community-based elderly care services: an empirical analysis based on CHARLS data. Chin J Health Policy. 2023; 16(8):16-23.

[18] Chen Y. Health service utilization and satisfaction among elderly living alone in Shanghai. Chin J Gerontol. 2018; 38(19):4792-4795.