山东省某市居民首诊就医机构选择状况调查
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摘要
目的:了解居民首诊就医机构的选择及其影响因素。方法:采用多阶段分层整群随机抽样的方法选取山东省某市6832名研究对象进行问卷调查。运用因子分析法进行统计分析。结果:首诊选择基层医疗卫生机构、二级医院和三级医院的居民分别占比60.2%、25.4%和13.9%。经过因子旋转后,命名了5个因子:就医机构级别、经济状况、医疗机构软实力、社会关系网络和就医距离。结论:该市居民基层首诊率不高。影响居民选择就医机构的因素复杂多样,就医机构级别、经济状况、医疗机构软实力、社会关系网络、就医距离等5个因素是主要影响因素。
Objective: To understand the choice of medical institution of first visit of residents and its influencing factors. Methods: The multi-stage stratified cluster sampling method was used to extract 6832 research subjects and conduct questionnaire survey. The factor analysis method was used for statistical analysis. Results: The proportion of residents in primary care institutions, secondary hospitals and tertiary hospitals in the first clinic was 60.2%, 25.4% and 13.9% respectively. After the factor rotation, five factors were named: factor 1 medical institution level, factor 2 economic status, factor 3 medical institution soft power, factor 4 social relationship network, and factor 5 medical distance. Conclusion: The rate of first consultation at the grassroots level in a city is not high. The factors affecting residents' choice of medical institutions are complex and diverse. The five factors of medical institution level, economic status, soft power of medical institutions, social network and medical distance are the main influencing factors.
Objective: To understand the choice of medical institution of first visit of residents and its influencing factors. Methods: The multi-stage stratified cluster sampling method was used to extract 6832 research subjects and conduct questionnaire survey. The factor analysis method was used for statistical analysis. Results: The proportion of residents in primary care institutions, secondary hospitals and tertiary hospitals in the first clinic was 60.2%, 25.4% and 13.9% respectively. After the factor rotation, five factors were named: factor 1 medical institution level, factor 2 economic status, factor 3 medical institution soft power, factor 4 social relationship network, and factor 5 medical distance. Conclusion: The rate of first consultation at the grassroots level in a city is not high. The factors affecting residents' choice of medical institutions are complex and diverse. The five factors of medical institution level, economic status, soft power of medical institutions, social network and medical distance are the main influencing factors.
引文
[1]张黎,李伟.山东省城乡居民就医行为影响因素调查研究[J].医学与哲学,2016,12(37):43-46.
[2]魏敏,肖锦铖.患者就医选择的影响因素及对策分析[J].中国卫生事业管理,2014,31(4):259-261.
[3]史秀欣,王思敏,杜玉杰,等.山东省城市社区患病老年人就医时机及影响因素[J].中国公共卫生,2016,2(32):155-158.
[4]中华人民共和国中央人民政府.陕西:280个医联体覆盖90%的县级医院[EB/OL].[2018-12-08].http://www.gov.cn/xinwen/2018-12/08/content_5347059.htm.
[5]郑莉莉.医疗保险改变了居民的就医行为吗?——来自我国 CHNS 的证据[J].财政研究,2017(2):84-97.
[6]赵绍阳.医疗保险补偿与患者就诊选择-基于双重差分的实证分析[J].经济评论,2014,1(1):3-9.
[7]刘轶,董捷.我国医疗保险制度的改革与医疗费用增长的控制措施[J].技术经济与管理研究,2017(6):106-110.
[8]顾雪非.全民医保将更加彰显公平性[J].中国卫生,2017(11):14.
[9]戴睿,颜理海.构建医院文化少不了人文关怀[J].中国卫生,2018(6):84-85.
[2]魏敏,肖锦铖.患者就医选择的影响因素及对策分析[J].中国卫生事业管理,2014,31(4):259-261.
[3]史秀欣,王思敏,杜玉杰,等.山东省城市社区患病老年人就医时机及影响因素[J].中国公共卫生,2016,2(32):155-158.
[4]中华人民共和国中央人民政府.陕西:280个医联体覆盖90%的县级医院[EB/OL].[2018-12-08].http://www.gov.cn/xinwen/2018-12/08/content_5347059.htm.
[5]郑莉莉.医疗保险改变了居民的就医行为吗?——来自我国 CHNS 的证据[J].财政研究,2017(2):84-97.
[6]赵绍阳.医疗保险补偿与患者就诊选择-基于双重差分的实证分析[J].经济评论,2014,1(1):3-9.
[7]刘轶,董捷.我国医疗保险制度的改革与医疗费用增长的控制措施[J].技术经济与管理研究,2017(6):106-110.
[8]顾雪非.全民医保将更加彰显公平性[J].中国卫生,2017(11):14.
[9]戴睿,颜理海.构建医院文化少不了人文关怀[J].中国卫生,2018(6):84-85.