【摘要】 目的:探讨泰安市未签约居民对家庭医生制度的知晓情况及影响因素，分析城乡差异，为推进签约服务开展提供理论参考。方法:采用多阶段抽样对2548名未签约居民进行问卷调查，了解一般情况和家庭医生制度知晓情况，运用logistic回归分析识别未签约居民知晓率的影响因素并分析城乡差异。结果:未签约居民家庭医生签约制度的知晓率为31.6%,城乡差距较大(36.4%vs 29.5%)。多因素分析显示，城乡居民对家庭医生制度知晓情况的影响因素存在差异。受教育程度和就业状况是城乡居民知晓率的共同影响因素；婚姻状况(OR=0.422)是城市未签约居民知晓率的影响因素；年龄(OR=0.567)、体检状况(OR=0.700)和慢性病患病状况(OR=0.745)是农村未签约居民知晓率的影响因素(P<0.05)。结论:泰安市未签约居民家庭医生制度的知晓率存在城乡差异。建议加强未签约居民家庭医生制度的宣传，重点关注农村居民、老年人、慢性病患者等群体，推进家庭医生签约服务在城乡社区的进一步开展。更多还原

【Abstract】 Objective: To understand the awareness situation of the family doctor system among the unsigned residents in Tai’an and its influencing factors, to analyze the differences between urban and rural areas, so as to provide theoretical reference for promoting the development of family doctor contracting service. Methods: A multi-stage sampling was used to conduct a questionnaire survey among 2548 unsigned residents to understand the general situation and the awareness of family doctor system. Logistic regression analysis was used to analyze the influencing factors of the awareness rate of unsigned residents and the urban-rural differences. Results: The awareness rate of the family doctor system among the unsigned residents was 31.6%,with a large gap between urban and rural areas(36.4% vs 29.5%). Multivariate analysis showed that there were differences in the influencing factors of the awareness of family doctor system between urban and rural residents. Education level and employment situation were associated with the awareness of family doctor system among urban and rural residents. Marital status(OR=0.422) was associated with the awareness of urban unsigned residents. Age(OR=0.567), physical examination status(OR=0.700) and chronic disease status(OR=0.745) were associated with the awareness of unsigned rural residents(P<0.05). Conclusion: The awareness of family doctor system among unsigned residents in Tai’an is different between urban and rural areas. It is suggested to strengthen the publicity of the family doctor system for unsigned residents,pay attention to rural residents,the elderly and patients with chronic diseases,and promote the further development of family doctor contracting service in urban and rural areas.更多还原