Research on the KAP influencing factors for the " Three-manager mode" in hierarchical medical system for chronic diseases

Objective To investigate the influencing factors for knowledge, attitude and practice(KAP)of the " Three-manager mode" about hierarchical medical system of Chronic diseases of the community residents in Xiamen, and provide references for the implementation of hierarchical medical system. Methods Multi-stage random sampling method was adopted, and 400 residents were randomly sampled from 5 communities of Xiamen for questionnaire survey.The survey features the dependent variable of the community residents′ " knowing" and " joining-in" the " Three-manager mode" , the internal factors(social demographic characteristics), and the external factors(medical expenditure and healthcare insurance). On such basis, four logistic regression models were built for analysis of such influencing factors. Results 41.10% of the surveyed were aware of the " Three-manager mode" , and 39.71% of the hypertension/diabetes patients among them joined in the " hypertension network" or " diabetes network" .Age, education, medical expenditure and referral experiences were significant influencing factors for KAP level of the " Three-manager mode" , while the residents of older age, higher education and referral experiences were high in their KAP; those of lower per capita monthly income, hypertension or diabetes, with coverage of medical insurance and satisfied with medical consultation in community were high in their awareness of " Three-manager mode" . Conclusions The KAP level of " Three-manager mode" of the community residents in Xiamen is acceptable, yet expected of further improvement.Room of further improvement includes enhancement of synergy of the " Three-manager mode" , enhanced motivation of government financial support and medical insurance, better service functions of community institutions, and especially the construction of hierarchical medical system. Key words: Community residents; Chronic diseases; Hierarchical medical system; Three-manager mode; Influencing factors