中国城乡患者就医行为影响因素模型研究  

Impact Factors Model of Medical Behavior of Chinese Urban and Rural Ill Residents

作　　者：王敏[1] 张开金[1] 姜丽[1] 黄新[1] 包思敏 

机构地区：[1]东南大学公共卫生学院,江苏省南京市210009

出　　处：《中国全科医学》2010年第19期2127-2129,共3页Chinese General Practice

基　　金：国家自然科学基金项目(70973018)

摘　　要：目的了解中国患病人群的就医行为,探讨就医行为的影响因素及其影响力大小,归纳、推导就医行为影响因素模型,提出模型研究的一般思路。方法运用SPSS13.0统计软件,通过对2006年中国健康与营养调查(CHNS2006)中城乡患病人群数据进行Logistic回归和多元线性回归两次回归分析,得出影响就医行为的因素及其影响力大小。结果得出了以患者个人特征、家庭特征和其他因素为自变量(X)、以"病后是否选择就医"为因变量(Y)的就医选择概率函数C和以就医支出为因变量(Y)、其他因素为自变量(X)的就医支出水平函数M。疾病严重程度、医疗服务价格和是否有医疗保险是患者就医选择和就医支出的共同影响因素。结论由两次回归分析,推导就医行为影响因素模型,就医行为影响因素模型推导的思想和原理与Grossman模型健康投入产出研究的思想是一致的。Objective To understand medical behavior of Chinese patients, explore the impact factors and influence of the medical behavior; so as to conclude and derive the model of impact factors of health seeking behavior to provide a general approach for model research. Methods The data on urban and rural population of the patients from China Health and Nutrition Survey in 2006 were treated with regression analyses logistic and multiple linear regressions by using SPSS 13.0 statistic software, so as to obtain the impact factors and their influence on the medical behavior. Results Assuming personal and family characteristics and other factors as independent variables （ X）, treatment options and medical expenditure as dependent variables （Y） separately. Two equations ： probability function of hospital choice （ C ） and function of medical expenditure standard （ M ） have been achieved. The severity of disease, price of medical services, and whether a patient has the health insurance were the common compact factors of medical choice and expenditure. Conclusion Through two regression analyses, the model of impact factors of health seeking behavior is derived; the thoughts and principles derived from the impact factors of health seeking behavior are consistent with Grossman model.

关 键 词：就医选择 就医支出水平 影响因素 回归分析 GROSSMAN模型 

分 类 号：R18[医药卫生—流行病学]