关键词: 医防融合, 模糊综合评价法, 居民感知, 高血压管理, 糖尿病管理, 家庭医生服务

Abstract: Background　Against the backdrop of an aging population and an increasing disease burden, the traditional medical service model is no longer suitable for current health needs. The integration of medical care and disease prevention has emerged as a new service model. Currently, the integration model is in the exploratory stage, with relatively few studies focusing on patient experience. Objective　This study aims to analyze the implementation effect of the medical and preventive care integration system from the perspective of demand and put forward countermeasures and suggestions.Methods　Using a method combining policy-oriented and multi-stage sampling, 328 valid samples were collected from residents visiting four public tertiary healthcare institutions and two primary healthcare institutions in Beijing. The entropy weight method and fuzzy comprehensive evaluation method were employed to comprehensively evaluate the effectiveness of medical and preventive integration across seven dimensions, and to analyze the heterogeneity among different resident groups.Results　The improvement score of residents' medical experience after the integration of medical and preventive system is 80.07, which belongs to the dimension of enhancement. The heterogeneity analysis results show that the evaluation score of females (83.141) is higher than that of males (76.985), and the score of patients with hypertension (80.818) is higher than that of non-patients (79.785). The score of patients with diabetes (73.606) is significantly lower than that of non-patients (81.212). The evaluation of residents who have signed up with a family doctor (88.163) is markedly higher than those who have not (72.811). Residents who choose primary health care institutions (86.317) have a higher evaluation than those who choose hospitals at or above the secondary level (72.502). Conclusion　The integration of medical and preventive system has achieved results, but there is still a need to optimize the medical consultation process; the management outcomes of the integration for hypertensive patients are relatively good, but the experience of diabetes patients with the integration needs to be improved; primary medical care and family doctor services have played a positive role, but the construction of the integration in comprehensive hospitals at or above the secondary level still needs to be strengthened. It is recommended to further strengthen information technology construction, optimize the medical consultation process to enhance the efficiency of medical and preventive integration, reinforce the management of diabetes patients within the integration, pay attention to the construction of the integration in comprehensive hospitals at or above the secondary level, and enhance the sense of health gain and satisfaction among residents.

Key words: Medical and preventive integration, Fuzzy comprehensive evaluation, Resident's perception, Diabetes management, Hypertension management, Family doctor service