Research On Utilization Of Traditional Chinese Medicine Service Based On Anderson Model

Objective:To construct a TCM service utilization model based on the 2000 version of the Anderson model,and use the constructed model to systematically summarize and summarize the influencing factors of residents’ TCM service utilization behavior and willingness to use,so as to provide a theoretical basis for the localization of the Anderson model;according to the results of the research Put forward targeted policies or suggestions to relevant departments to improve the utilization rate of Chinese medicine services and residents’ willingness to use,so as to promote the development of Chinese medicine and health undertakings in the new era.Methods: Based on a large number of literature readings,the Delphi method was used to construct a TCM service utilization model;a multi-stage sampling method was adopted to select four cities in Guilin,Liuzhou,Yulin,and Nanning,and then 20 communities or county.Using a combination of on-site questionnaires and online questionnaires,a self-made questionnaire was used to investigate the current situation of the use of TCM services in 900 residents from four dimensions.Use Epidata 3.1 for independent double entry;use SPSS22.0 for statistical analysis of data.The statistical methods are mainly descriptive statistics,binary Logistics regression analysis,etc.,with α=0.05 as the test level.Result:1.The TCM service utilization model constructed in this study is divided into five dimensions and 26 secondary indicators.The variables under the dimensions influence each other,which is a non-recursive model of two-way path relationship.2.A total of 900 paper questionnaires and questionnaire star links were distributed this time.After quality control,the final valid questionnaire was 870,and the effective recovery rate was 96.7%.Among them,445 have used Chinese medicine services in the past 12 months,with a utilization rate of 51.4%.3.The comprehensive logistic regression of the various dimensions of the influencing factors of the use of TCM services shows that: in terms of the cultural dimension of TCM: residents without religious beliefs have a 0.739 times lower probability of using TCM services than residents with religious beliefs(OR=0.739,CI upper limit=0.440),Lower limit = 1.242),the local residents who have no traditional habit of using Chinese herbal medicine for health care or treatment of diseases have a 0.668 times lower utilization probability than the custom of using Chinese herbal medicine(OR=0.668,CI upper limit=0.445 lower limit=1.004);no family members have used it.Residents with TCM services are 0.332 times less likely to use TCM services than those whose family members have used them(OR=0.332,CI upper limit=0.210,lower limit=0.524);residents without relevant TCM products or equipment at home have related products than residents The probability of using TCM among the residents of residents is 0.651 times lower(OR=0.651,CI upper limit=0.210,lower limit=0.524);among the characteristics of the construction of Chinese medicine in medical institutions,medical staff do not recommend or use TCM services for preventive health care during diagnosis and treatment activities.Residents are 0.174 times less likely to use TCM services than recommended residents in the past 12 months(OR=0.174,upper limit of CI=0.109,lower limit=0.277).In the dimension of residents: the probability of ethnic minorities using Chinese medicine services is 2.587 times that of Han people(OR=2.587,upper limit of CI=1.744,lower limit=3.837);the higher the individual’s awareness of Chinese medicine,the better understanding of Chinese medicine and the use of Chinese medicine The higher the probability of service,residents who have relatively better knowledge of Chinese medicine are 0.321 times more likely to use Chinese medicine services than those who have no knowledge of Chinese medicine;residents who have never been exposed to Chinese medicine cultural propaganda,lectures or free consultation activities are more likely than those who often participate in it.The probability of using Chinese medicine services is0.331 times lower(OR=0.331,CI upper limit=0.155,lower limit=0.706);in the health belief characteristics,when the body is unwell,residents who are very likely to take self-medical measures use it than those who are less likely The probability of TCM services is 0.174 times higher(OR=0.174,CI upper limit=0.109,lower limit=0.277);residents who have no discomfort or disease within two weeks have a 0.403 times lower probability of using TCM services than residents who have experienced discomfort(OR=0.403),CI upper limit=0.266,lower limit=0.609).In the dimension of the results of the use of TCM services: residents with higher willingness to use are 2.904 times higher than those with lower willingness(OR=2.904,upper limit of CI=1.409,lower limit=5.984).4.The comprehensive logistic regression analysis of each dimension of the influencing factors of the willingness to use TCM services shows that: in the cultural dimension of TCM,whether to popularize the knowledge of TCM with patients during the diagnosis and treatment process;there are statistical differences in the consultation of their own diseases in the dimension of Chinese medicine service utilization behavior(P <0.05),among them,residents who failed to popularize Chinese medicine knowledge during the diagnosis and treatment process were 0.411 times lower in willingness to receive Chinese medicine services than those who had received Chinese medicine knowledge popularization(OR=0.411,upper limit=0.194,lower limit=0.872);Residents who never consulted their own conditions were 0.357 times lower than those who consulted doctors(OR=0.357,upper limit=0.183,lower limit=0.696).Conclusion:1.The TCM service utilization model can be applied to the research of TCM service utilization,and can well summarize various influencing factors,which is systematic and scientific.2.Residents’ Chinese medicine service behavior is affected by traditional medicine customs,religious beliefs,whether medical staff recommend Chinese medicine services,whether family members have used Chinese medicine services,whether there are related Chinese medicine products or equipment at home,ethnicity,education level,and whether they are in frequent contact The publicity activities of Chinese medicine,Chinese medicine cognition and attitude,health belief,two-week prevalence,residents’ willingness to use and other factors influence.3.Residents’ willingness to use TCM services,the patient’s own disease or health concern,and the clarity of explanations of the patient’s condition by medical staff and other factors.4.Policy recommendations: Enhance the service capacity of Chinese medicine,pay attention to the details and quality of diagnosis and treatment;continue to strengthen the advantageous areas of Chinese medicine service,protect the traditional customs of folk medicine;strengthen the construction of Chinese medicine culture,and improve the residents’ awareness of Chinese medicine;To speed up the modernization of TCM;optimize the allocation of TCM services in ethnic remote areas,improve supervision and legal systems;improve medical insurance compensation projects,establish new incentive mechanisms and cultivate a spirit of integrity.