Community Health Care Services Research Articles

Lower Health Literacy of Mania Than Depression Among Older People: A Random Survey of a Community Healthcare Service Center.

Purpose: This study examines health literacy among older outpatients in two Community Healthcare Service Centers in Shanghai, China to facilitate the design of public education programs for the aged population on mood disorders (both depression and mania).Patients and Methods: A total of 173 outpatients aged 60 years or more with a chronic physical illness were randomly sampled. A health literacy questionnaire was used to assess participants' awareness of depression and mania. Participants were then asked to label two vignettes depicting depression and mania and to give their recommendations for how to seek help for those in the vignettes and how mood disorders should be managed.Results: In all, 86.1 and 36.4% of participants had heard of depression and mania, respectively, with the most common source of information being relatives and friends. Over half of the participants attributed the possible causes of mood disorders to psychological trauma, pressure or stress in daily life, taking things too hard, and personality problems. Almost two-thirds of participants correctly labeled the depression vignette, but only 26.6% correctly labeled the mania vignette. The most common methods recommended by the participants as being helpful for the individuals portrayed in the vignettes were “traveling” and help-seeking from a psychological therapist/counselor, a psychiatrist, or a close family member or friend.Conclusion: The older individuals attending community healthcare service settings in Shanghai have good depression literacy but relatively poor mania literacy. However, most participants had a positive attitude toward psychiatric treatment for mood disorders.

The experience of bereavement on family caregivers of people with dementia in China.

Despite many studies on 'life after care' for family caregivers with dementia in Western societies, little is known about the bereavement experiences of family caregivers in China. The aim of this study was to explore the experience of bereavement on family members of people with dementia in China. It also hopes to inform end-of-life care within communities, providing a theoretical basis for improving the quality of life of bereaved family caregivers. Interpretative phenomenological analysis approach was adapted for this study. Purposive sampling was used to recruit former family caregivers of people with dementia. Semi-structured in-depth interviews with 12 bereaved family caregivers were collected. Thematic analysis was used for data analysis. Five themes were identified: recalling the past life, lack of support, uncertainty of the future, social withdrawal and acceptance and release. The experiences of bereavement on family members of people with dementia in China are socially and culturally complex. This article recommends that bereavement should be supported throughout the palliative process of community services and healthcare services. Providing all-round support and education on death and dying can help the family caregivers to pass through grief and help them to maintain their normal life.

Developing home health care application for patient during the covid-19 pandemic

The term “Priyayi” or willing to be served in Indonesia as a social context really encourages start-up developers to develop products. Also, Covid-19 pandemic makes people anxious to visit hospitals or “Puskesmas” (Community Health Care Service). The development of home care applications is prospective in Indonesia, especially in Singaraja, Bali. It greatly assists the community to get health services in their homes so that it is safer and more comfortable than queuing for services at hospitals and clinics. This research is descriptive qualitative research. The applications are developed using the Agile Method. The data is obtained through observations, interviews, and previous scientific research and study. Based on the results of interviews, 80% of respondents wanted the development of this application. Furthermore, the result of Alpha testing showed that the system could ran well. The usability Testing Process used the System Usability Scale (SUS) questionnaire with 20 respondents resulted in a “Good” value (65,125) so that this application followed the needs of people who want to get health care at home during the Covid-19 pandemic.

Lock Down, Social Distancing and Mental Health during the COVID19Pandemic in African Settings: The Peopl

The COVID-19 pandemic has led to the resolution of a total lockdown both in developed and developing countries. The lock-down has worsened the prevailing economic crisis; affected the health and political system; and exacerbated unemployment levels in African settings, especially in the Democratic Republic of Congo. All these factors have had detrimental effects on the mental health of the affected population. We sought to provide insight into policy-relevant approaches including the integrative community-based organization, digital health; systematic screening of mental health problems in primary and clinical health care, given that failure to treat those who are emotionally affected will result in long-term social and economic outcomes. The primary health workforce should be trained and empowered to become incrementally efficient and to provide sustained mental health care services through digital health systems. Helping communities affected by COVID-19 to feel better mentally will require the integration of new technologies within primary health care to enable access to mental health screening and psychotherapy centered on a supportive therapy strategy, anger, and stress management. Furthermore, the establishment of personalized and integrative community-based mental health care will go a long way to assist mental health in developing countries characterized by a paucity of workers in order to achieve the coverage of mental health services during health emergencies. Any partnerships between the ministry of health and international organizations during the COVID-19 pandemic should plan for global commitment to increase the provision of needed mental health care services in the concerned communities.

Prevalence of Anxiety, Depression, Stress, and Insomnia among Healthcare Workers during Covid-19: A Systematic Review and Meta-Analysis

Covid-19 pandemic had a deleterious impact on the healthcare system and interrupted the healthcare services for individuals, families, and communities. This review aimed to ascertain the prevalence of anxiety, depression, insomnia, and stress among nurses and doctors during Covid-19 pandemic based on Cochrane collaboration guidelines and reported using Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement. The online literature search was conducted from 1 January 2021 to 31 April 2021; two authors independently searched and appraised the quality of studies. The quality of studies was assessed using modi'Agrave; ed Newcastle-Ottawa scale. Pooled data was analysed using random-effect model and heterogeneity was assessed by I2 test. A total of 13 studies comprising 9060 participants were selected for meta-analysis. The prevalence of anxiety and depression among nurses was ES (95% CI) [0.42(0.33,0.50), I2 I =97.42, p'lt;0.001], and 0.42 (0.32, 0.52), I2 I =97.60, p'lt;0.001] respectively. Anxiety and depression among doctors was ES (95%CI) [0.34(0.26,0.42)], I2 I =95.26, p'lt;0.001 and 0.34 (0.23,0.45), I2 I =97.61, p'lt;0.001 respectively. The overall pooled prevalence of insomnia among nurses was 0.44 (0.35, 0.53), I2 I =90.97, p'lt;0.001 and doctors was 0.35 (0.26, 0.43), I2 I =90.79, p'lt;0.001. The total pooled prevalence rate of stress among nurses was 0.37 (0.08, 0.66), I2 I =99.56, p'lt;0.001 and doctors was 0.37 (0.06, 0.68), I2 I =99.07, p'lt;0.001. The overall subgroup pooled prevalence rate of anxiety, depression, insomnia, and stress due to Covid-19 pandemic among nurses and doctors was 0.42 (0.33, 0.50) I2= 99.96, p'lt;0.001, 0.34 (0.29, 0.40), I2 I =96.93, p'lt;0.001, respectively. Anxiety and depression were the most common problems exhibited by the doctors and nurses during Covid-19 pandemic. These 'Agrave;ndings emphasise the urgency for an early identi'Agrave;cation and interventional strategies to mitigate the mental health crisis among frontline healthcare providers.

Supply and Demand-Related Decisive Factors in the Utilization of Non-Medical Community Healthcare Services among Elderly Chinese.

There is little research on the utilization of non-medical community healthcare services among the elderly, compared with that of medical community healthcare services. From the perspective of both supply and demand, based on the survey data from Shaanxi province, this study examined supply-related factors (including service supply, service quality, service charge and service accessibility) and demand-related factors (including service need, individual financial status, family care support and knowledge of service) affecting the utilization of non-medical community healthcare services among the elderly in China by using Poisson regression. The findings show that service supply, service quality, service need and knowledge of service are positively associated with the utilization of non-medical community healthcare services among elderly Chinese, but the other factors identified in previous studies are not significant predictors for the utilization of the services among the elderly in the context of China. To our knowledge, this is the first study to examine both supply-related factors and demand-related factors affecting the utilization of non-medical community healthcare services among elderly Chinese.

Implementing integrated community case management during conflict in Yemen.

BackgroundThe conflict in Yemen has devastated the health system, with only 51% of health facilities classified as fully functional and 19.7 million people lacking access to health care. To address the urgent need for primary health care services in rural communities, Save the Children launched an iCCM program in Lahj and Taiz Governorates. A qualitative study was conducted to document the challenges to iCCM service delivery and to aid in developing strategies for overcoming service delivery bottlenecks in conflict-affected rural areas.MethodsQualitative data were collected in Aden City, Lahj Governorate, and Taiz Governorate. Twenty-three IDIs and six FGDs were conducted with iCCM stakeholders at all levels.ResultsKey findings included: 1) Policy, coordination, and funding were challenged by the fact that iCCM was not integrated into the national health system and was implemented as a short-term emergency program. 2) Villages that received services from a CHW who was based in a different community experienced reduced access to services, especially during times of heightened conflict and insecurity, when CHWs could not travel. 3) Supervision, supply chain, and monitoring were all challenges that were exacerbated by difficulties in travel due to the conflict. Potential solutions to these included the use of mobile technology for supervision and data collection and pre-positioning of buffer stocks in locations closer to CHWs. 4) Travel was seen as the primary threat to the safety of CHWs and supervisors. Measures taken to reduce the risk included limiting travel during periods of heightened insecurity, safety training for CHWs, and use of mobile technology for communication.ConclusionsCHWs were able to provide iCCM services in a challenging and insecure context. The challenges in delivery of services were related to both a weak health system and the conflict. Several adaptations to service delivery to overcome the bottlenecks have been identified and should be considered for future community health programs. The closure of the program in Taiz after only 14 months of implementation is a stark illustration of the failure of the current model of short-term humanitarian funding to address long-term needs in protracted emergencies.

A regional evaluation of the health care utilization and outcomes of children and young people with long-term ventilation needs.

Globally, the number of children and young people (CYP) with long-term ventilation (LTV) needs is increasing, with high associated health care costs, due to frequent hospital admissions and contact with community health care services. However, demographic, health care utilization and outcome details of the CYP cared for locally is unknown. This study aimed to examine health care utilization and outcomes for this patient population. Routinely collected data from 2014 to 2018 were extracted from local LTV team records and from hospital electronic patient records. Descriptive and inferential statistical analysis was performed using SPSS 17. A total of 112 CYP aged 0-17 years old were included in the evaluation. Sixty per cent (n = 67) commenced ventilation in hospital, and 62% (n = 69) had at-least one hospitalization event whilst they were on LTV, with a median length of stay of 3 days. Most hospitalizations were unplanned and respiratory in nature. Ninety-five per cent (n = 106) of CYP accessed at least one clinic appointment whilst on LTV, with a median of 20 outpatient clinic appointments during the study period. The majority of CYP received time-intensive support from LTV nurses and physiotherapists during the period that they received LTV. Minimal seasonal variation existed in relation to hospital admissions. Year on year increasing trend of hospital admissions was noted. The observed mortality rate was 3.6% (n = 4), 72.3% (n = 81) remained active on LTV, 14% (n = 16) were liberated from their ventilation and 9% (n = 10) transitioned to adult care by the end of the study. The study highlights the most common modes of health care utilization for CYP with LTV needs. To enable formalization of future resource planning and accurate assessment of health care utilization in evaluations, there is an urgent need to create a systematic approach for relevant LTV data collection.

Veteran Perspectives on Care Coordination Between Veterans Affairs and Community Providers: A Qualitative Analysis.

To investigate veteran perspectives on challenges in care coordination between US Department of Veterans Affairs (VA) clinics and community providers in rural areas. We completed qualitative interviews with a geographically diverse sample of 51 veterans who had used both VA and community health care services. Interviews were audio-recorded and transcribed verbatim. We used directed content analysis (informed by previous work with VA and community staff) to elucidate findings, while remaining attentive to emergent themes. We report results in 5 key domains related to interorganizational care coordination: organizational mechanisms, organizational culture, relational practices, contextual factors, and the role of the Third-Party Administrators responsible for scheduling and payment for community services. Veterans described successes and challenges in interorganizational coordination across these domains, while also reporting a variety of workarounds and mitigation strategies. Veterans living in rural areas face myriad challenges when using health care services both within and outside of VA. In the absence of strong mechanisms for ensuring coordination and communication between health care providers at different institutions, veterans themselves may carry the primary burden for coordinating their care. Our results suggest the utility of both structural and relational approaches to enhancing interorganizational care coordination in these settings.

Improving healthcare services access at the bottom of the pyramid: the role of profit and non-profit organisations in Brazil

PurposeThis study aims to highlight the processes that private organisations implement to improve access to health care services for low-income communities in Brazil.Design/methodology/approachA qualitative research based on a comparative case study was conducted in São Paulo. A for-profit organisation and a not-for-profit one were compared to scrutinise how they adapt themselves to the social context they are embedded in; while improving their service accessibility.FindingsBoth kinds of organisations have succeeded to reach their goal of improving the access and reducing the time frame of health care services to low-income populations. Their initial business model (BM) makes them face their own challenges that they face with different strategies. It affects their way of communicating, their organisational culture, the patients’ expectations and their level of inclusiveness.Research limitations/implicationsThe research is context-dependent because of the specific conditions of the health public system in Brazil. When shaping health care BMs, the national context must be taken into account and the service marketing components should be used to enhance patients’ value co-creation in the health care service delivery process.Practical implicationsThe research gives insights to organisations that seek to adapt their BM to improve health-care access to low-income populations.Social implicationsHealth-care access plays a key role in improving populations’ living conditions and reach one of the sustainable development goals of the United Nation.Originality/valueHealth care services access at the bottom of the pyramid remains under-studied. The paper brings value by comparing for-profit and non-profit organisations, which have the same social goal of improving health-care access to low-income populations while developing different practices to deal with their own challenges.

Rethinking access for minority segments in rural health: An LGBTQI+ perspective.

This paper nuances the notion of access when considering minority segments and their use of health care services in rural communities. It argues that access needs to be considered as both the availability and the perceived ability to use a service without fear of retribution. By taking such a stance, this paper addresses the inequality in LGBTQI+ care in rural communities. It claims equitable care can only be achieved if the appropriate environment is created where individuals can disclose their identity and seek appropriate treatment. Given the complexity surrounding rural communities, their prevailing culture and perceptions, as well as stigmas and poor health outcome, a multilevel approach is taken to identify implications. It is argued that to address the individual and systemic barriers to equitable health care, a human rights-centred approach to health needs to be adopted considering the individual, the community and the health system.

Exploring the structure of social media application-based information-sharing clinical networks in a community in Japan using a social network analysis approach

ObjectiveCurrently, use of social networking services (SNSs) for interprofessional collaboration is increasing. However, few studies have reported on virtual interprofessional interactions in community healthcare services. Revealing such structural characteristics of...

Residential Segregation, Neighborhood Health Care Organizations, and Children's Health Care Utilization in the Phoenix Urbanized Area

Research has demonstrated health care consequences of racial/ethnic residential segregation. Here, I test one possible mechanism—the distribution of community health care organizations and service providers across urban communities. Using data from a 2013 survey on children's health care utilization in the Phoenix urbanized area combined with data on a 2013 census of health care organizations, I estimate a series of statistical models in order to test this relationship. I find that Latino and Native American segregation is related to a lower density of health care organizations. Furthermore, the lack of these resources increases the odds of a family using a clinic, versus a physician's office, which is a more ideal source of care. Finally, a higher rate of racial/ethnic clustering is also related to greater utilization of a clinic, as opposed to a physician's office, and this association is partially mitigated by distribution of health care organizations.

Incidence of postpartum and neonatal illnesses and utilization of healthcare services in rural communities in southern Ethiopia: A prospective cohort study.

Although improving postpartum and neonatal health is a key element of the Ethiopian health extension program, the burdens of postpartum and neonatal illnesses and healthcare-seeking in rural communities in Ethiopia are poorly characterized. Therefore, we aimed to assess the incidence and risk factors for these illnesses and measure the utilization of healthcare services. We conducted a prospective cohort study of 784 postpartum women and their 772 neonates in three randomly selected kebeles in rural southern Ethiopia. Eight home follow-up visits were conducted during the first 42 postpartum days, and six neonate follow-ups were conducted at the same home over the first 28 days of life. The Prentice, Williams, and Peterson’s total time Cox-type survival model was used for analysis. We recorded 31 episodes of postpartum illness per 100 women-weeks (95% confidence interval [CI]: 30%, 32%) and 48 episodes of neonatal illness per 100 neonate-weeks (95% CI: 46%, 50%). Anemia occurred in 19% of women (95% CI: 17%, 22%) and low birth weight (<2,500g) in 15% of neonates (95% CI: 13%, 18%). However, only 5% of postpartum women (95% CI: 4%, 7%) and 4% of neonate (95% CI: 3%, 5%) reported utilizing healthcare services. Walking over 60 minutes to access healthcare was a factor of both postpartum illnesses (AHR = 2.61; 95% CI: 1.98, 3.43) and neonatal illnesses (AHR = 2.66; 95% CI: 2.12, 3.35)). Birth weight ≥2500g was identified factor of neonatal illnesses (AHR = 0.39; 95% CI: 0.33, 0.46). Compared with younger mothers, older mothers with sick newborns (AHR = 1.22; 95% CI: 1.00, 1.50) or postpartum illnesses (AHR = 1.40; 95% CI: 1.03, 1.89) were more likely to seek healthcare. Reasons for not utilizing healthcare services included a belief that the illnesses were not serious or would resolve on their own, little confidence in the healthcare institutions, and the inability to afford the cost. The burden of postpartum and neonatal illnesses in rural communities of southern Ethiopia remains high. Unfortunately, few participants utilized healthcare services. We recommend strengthening the health system that enables identifying, managing, treating, and referring maternal and neonatal illnesses and provide reasonable healthcare at the community level.

Community-Based Health Insurance Enrollment and Child Health Service Utilization in Northwest Ethiopia: A Cross-Sectional Case Comparison Study.

PurposeUtilization of primary healthcare services in the rural communities of Ethiopia is very low. The Ethiopian government has introduced community-based health insurance (CBHI) to improve the health service utilization of the rural community. Thus, this study was conducted to examine the association between CBHI enrollment and child health service utilization in northwest Ethiopia.Patients and MethodsA cross-sectional case comparison study among CBHI enrolled and unenrolled households was conducted. A total of 226 sick children from 2008 surveyed households were included in the study. Bivariate-probit regression analysis was employed to account the endogenous nature of insurance enrollment and child health services utilization.ResultsThe results showed that the overall sick child healthcare visit in the CBHI enrolled group was about 0.44 (44%) point more compared to those unenrolled households. CBHI enrolled households in the poorest wealth group have a higher probability of visiting healthcare facilities for their sick children (coefficient: 0.13, SD: 0.07, 95% CI: −0.01, 0.27), whereas CBHI enrolled households with older age household head have a lower probability of visiting healthcare facilities for their sick children (coefficient: −0.16, SD: 0.08, 95% CI: −0.32, 0.01).ConclusionA promising positive effect on sick children’s health services utilization among CBHI enrolled was noticed. Moreover, households in the poorest wealth status and older age head affect the use of sick children’s healthcare services among those CBHI enrolled. Therefore, policy measures to expand benefit packages and supply-side interventions are essential to enhance the effects of CBHI on different health service utilization.

METHODS RESEARCH

Research ObjectivePrimary care networks (PCNs) are a new organizational hierarchy with wide‐ranging responsibilities introduced in the NHS Long Term Plan. The vision is that they represent “natural” communities of primary care practices (PCPs) with boundaries that make sense to practices, other health care providers, and local communities. Our study aims to identify natural communities of PCPs based on patient registration patterns using network analysis methods and unsupervised clustering to create catchments for these communities.Study DesignWe used a series of novel methods for unsupervised graph clustering. A cosine similarity matrix was constructed representing similarities between each PCP to each other, based on registration of patients in each Lower Super Output Area (LSOA)—a geographic division similar to census block groups. Unsupervised graph partitioning using Markov multiscale community detection was conducted to identify communities of PCPs. Catchment areas for each PCN were assigned based on the majority attendance from an LSOA.Population StudiedPatients resident in and attending PCPs in London identified from Hospital Episode Statistics from 2017 to 2018.Principal Findings3,428,322 unique patients attended 1,334 GPs in 4,835 LSOAs in London. Our model grouped 1,291 PCPs (96·8%) and 4,721 LSOAs (97·6%), into 165 mutually exclusive PCNs. The median PCN list size was 53,490, with a lower quartile of 38,079 patients and an upper quartile of 72,982 patients. A median of 70·1% of patients attended a GP within their allocated PCN, ranging from 44·6% to 91·4%.ConclusionsWith PCNs expected to take a role in population health management and with community providers expected to reconfigure around them, it is vital we recognize how PCNs represent their communities. We find that stable, representative collaborations between PCPs may be identified based on the similarity of the geographic locations of their registered patients. Our method may be used by policy makers to understand the populations and geography shared between networks.Implications for Policy or PracticeCollaboration between primary care providers offers the opportunity to improve the coverage and integration of local health care services. In the absence of data‐driven methods, these processes may proceed through interpersonal relationships between practitioners, which may not be representative of the local delivery of health care. This study uses Markov multiscale community detection, a data‐driven, unsupervised clustering method to identify “naturally occurring” communities of GP practices, which collectively form 165 PCNs across London. In doing so, this technique produces PCNs which are most representative of the spatial communities of patients for whom PCNs provide care. This approach may be used by policy makers and local commissioners across England to identify naturally occurring relationships between PCPs which are informed by existing patterns of patient registration. As the need for integration between community health care services grows, this method enables data‐driven, unsupervised understanding of the relationships that exist between providers of primary care and the communities they serve.

How to Screen Suitable Service Improve Community Health Care Services by University Students in Taiwan.

Engaging in social contributions to enhance social participation and attending community experiential service learning or internship courses have become an essential learning experience for university students. On the basis of postmodern education theories, this study adopted images and oral accounts involving personal experiences to construct a postmodern education research scheme by using the method of collaborative ethnography. This study selected and performed the following services: filming a community documentary, administering community health dance classes, and archiving community cultural artifacts in databases. Interviews were also administered to facilitate implementation of the actual services. Community health services commonly seen in Taiwan and abroad were compiled, and the resources required for each service were examined. Subsequently, factor analysis was performed to explore the characteristic of these services in order to recommend feasible services for university students to undertake. The results indicated that the eight resources required for the 59 common community health services were (1) a designated space or venue, (2) materials, (3) monetary resources, (4) human resources, (5) expertise, (6) professional equipment, (7) patience, and (8) empathy. The results revealed three principal components, namely labor services, high-resource services, and professional services, for a total explanatory power of 67.99%; the individual explanatory power of these components accounted for 25.04%, 21.81%, and 21.15%, respectively. Next, community health care services suitable for university students to perform were selected and implemented, and these services were well received. The study results indicated that community and environmental justice can be realized by identifying with the value of community health services and promoting postmodern education theories and social norms. The research results are suitable for implementation after the COVID-19 pandemic.

Assessing, Consulting, Reporting Heuristics in Professional Decision-Making Regarding Suspected Child Maltreatment in Community Healthcare Services.

This study investigated child protection decision-making practices of healthcare-professionals in community-health-services. We examined the effect of heuristics in professional judgments regarding suspected maltreatment, as affected by the child's ethnicity, gender, and family socioeconomic-status, as well as the healthcare-worker's workload-stress, and personal and professional background. Furthermore, we examined how these variables influence judgments regarding suspected maltreatment and intentions to consult and report child-maltreatment. We used an experimental survey design including vignettes manipulating the child's characteristics. Data was collected from 412 professionals employed at various community-health-service-clinics of the largest health-management organization in northern Israel. Findings show that all subjective factors have a significant effect on suspected child-maltreatment assessment, which appears as a significant predictor of later decisions regarding consultation and reporting. This study lends support to prior research indicating that healthcare-professionals' decisions may incorporate biases, and suggests how the effects of these biases' are mediated through a sequence of decisions. Recommendations focus on providing regular consultation opportunities for practitioners.

Are we on the same page? Exploring stakeholders' shared mental models of mobile health in rural Nigeria.

Despite the benefits promised by mobile health, the introduction of these solutions is often met with resistance from various stakeholders. This article adopts a shared mental model approach to unearth the current perceptions, concerns, and mentalities of key stakeholders engaged in the provision of healthcare in Nigeria. These include policy makers, academics, healthcare professionals, and health information systems developers. Interviews and focus groups were used to examine stakeholders' views across three mental models: (1) the technology, (2) processes, and (3) the team. Our investigations reveal disparities in stakeholders' existing mental models and their perceptions of the proposed mobile health solution. We argue that fostering a common understanding of mobile health, as well as elucidating an improved understanding of processes and team behaviours, will mitigate the risk of resistance among stakeholders involved in the design and delivery of community healthcare services and culminate in a positive attitude towards new mobile health solutions among these stakeholders. We highlight the need to enhance communication and training from national to rural levels to promote complementary mental models and positively influence team performance.

Relationship between the five-factor model of personality traits and self-management attitude of patients with type 2 diabetes

To explore the correlation between different personality characteristics and self-management attitude such as medication, exercise and diet in patients with type 2 diabetes mellitus. The patients with type 2 diabetes mellitus from 4 Community Healthcare Services and 22 affiliated community stations of Tongzhou District and Shunyi District of Beijing were selected as subjects. The Chinese big five personality inventory and the self-designed scale including the attitudes of medication, exercise and diet were used in the study. In this study, 642 subjects were finally included, among whom the sex ratio of male and female was basically the same, 61.21% were over 61 years old. In this study, different genders had differences in neurotic personality (P<0.05), different age groups had differences in agreeableness and openness (P<0.05), different education levels had differences in openness and extraversion (P<0.05), and different income levels had differences in agreeableness, openness and extraversion (P<0.05). The linear correlation analysis of the five-factor moldel of personality traits with medication, exercise and diet attitude showed that three items of perceived disorders of medication were positively correlated with neuroticism (r=0.125, 0.187, 0.151, P<0.05), four items of perceived disorders of exercise were positively correlated with neurotic personality (r=0.163, 0.129, 0.119, 0.104, P<0.05), and perceived benefits of exercise were positively correlated with conscientiousness (five items, r=0.156, 0.111, 0.131, 0.104, 0.131, P<0.05), agreeableness (two items, r=0.092, 0.078, P<0.05) and extraversion (four items, r=0.079, 0.122, 0.115, 0.123, P<0.05), three items of perceived disorders of diet were positively correlated with neuroticism (r=0.115, 0.137, 0.108, P<0.05), and two items of were negatively correlated with conscientiousness (r=－0.126, －0.161, P<0.05) and agreeableness (r=－0.103, －0.115, P<0.05). In the canonical correlation analysis, according to the formula combination of three groups of typical variables and canonical structure diagrams, neuroticism and agreeableness played major roles in personality traits, and items that represented "obstacles" in medication, exercise, and dietary attitudes played a major role. All the five personality traits were correlated with the self-management attitude of type 2 diabetes patients, and different personality traits have an impact on the self-management of patients with type 2 diabetes mellitus. In particular, it is of great significance to understand neuroticism for improving the mental health and quality of life of patients with type 2 diabetes mellitus. Therefore, attention should be paid to the influence of psychological factors in community management of type 2 diabetes and disease self-management, and the personalized care and health education should be carried out according to the personality traits of patients.