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

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. 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. 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. 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). 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.