四川农村居民两周患病就诊单位选择影响因素分析  

ANALYSIS OF INFLUENCE FACTORS OF RURAL RESIDENTS` CHOICE OF SELECTING CARE PROVIDERS DURING TWO-WEEK PREVALENCE IN SICHUAN PROVINCE

作　　者：吕宇[1] 谭铃[2] 甘华平[3] 应桂英[3] 张菊英[1] 姜倩[1] 

机构地区：[1]四川大学华西医学中心公共卫生学院,成都610041 [2]四川省卫生厅计财处 [3]四川省卫生厅信息情报中心

出　　处：《现代预防医学》2010年第10期1808-1811,共4页Modern Preventive Medicine

基　　金：四川省居民健康状况评价及医疗卫生供需研究

摘　　要：[目的]了解四川农村居民两周患病就诊单位选择现状,探讨就诊单位选择的主要影响因素,为促进医疗体制改革、优化医院结构布局提供参考。[方法]利用四川省第四次国家卫生服务调查资料,描述农村居民两周患病情况、就诊单位选择情况,并与第三次卫生服务调查数据纵向比较;应用多项式Logistic回归对农村两周患病就诊单位选择的影响因素进行分析。[结果]农村居民两周患病就诊率有明显下降;多项式Logistic回归拟合结果显示:影响农村居民两周患病就诊单位选择的主要因素为医疗保障、家庭人均收入、年龄、就业状况、慢性疾病和自感健康状况。[结论]农村地区医疗体制改革重点应放在完善新型农村合作医疗和充分发挥私人诊所作用上。[Objective] To observe the residents choice of selecting care providers during two -week prevalence in Sichuan province, explore its main influence factors, and provide reference for promoting medical system reform and adjusting the arrangement of the hospital planning. [Methods] The condition of the two-week prevalence rate of rural residents and their choice of selecting care providers were described by using the data from the 4th national health service investigation in Sichuan province, and the survey data was compared with the 3th national health service investigation longitudinally. Multinomial Logistic regression was used to analysis the influencing factors related to residents choice of selecting care providers. [Results] Two-week prevalence of rural residents decreased significantly; The influencing factors of rural residents choice of selecting care providers were medical security system, income, age, occupation, chronic diseases and self-rated health state. [Conclusion] It shows that the health system reform should focus on developing new rural cooperative health system and giving full play to the role of private clinics.

关 键 词：就诊单位选择 门诊服务利用 医疗消费行为 多项式Logistic回归 

分 类 号：R197[医药卫生—卫生事业管理]