大学生医疗消费意愿的影响因素分析  

Analysis on influencing factors of medical consumption intention among college students

作　　者：陈君程[1,2] 张迎[2] 艾莉[3] 陈新宇[4] 郭雪花[2] 何建秀[2] 谭祈炜[2] 袁萍[1] 

机构地区：[1]四川大学华西公共卫生学院华西第四医院,四川成都610041 [2]西南民族大学,四川成都610041 [3]成都中医药大学,四川成都611137 [4]绵阳师范学院,四川绵阳621000

出　　处：《现代预防医学》2014年第8期1432-1435,共4页Modern Preventive Medicine

基　　金：四川省统计科学研究计划项目(2012sc056;类别:重点项目);西南民族大学科研项目(09SQZ006;类别:青年重点项目)

摘　　要：目的了解大学生被纳入城镇居民基本医疗保险的背景下,大学生医疗消费意愿的影响因素,为引导大学生形成正确的医疗消费意愿和行为提供依据。方法采用分层整群随机抽样的方法对四川省3所高校(包括理工院校、医科院校和民族院校)大一到大三的390名本科生进行调查;问卷数据通过卡方检验进行单因素分析,通过非条件Logistic回归进行多因素分析。结果调查共回收有效问卷375份,有效率96.2%;医疗消费意愿是首选校医院就诊的人数为107人(28.5%),不是首选校医院就诊的人数为268人(71.5%);多因素分析结果显示,性别(P=0.002,OR=0.477)、年龄(P=0.038,OR=0.725)、年级(P=0.039,OR=0.495)、认为校医院医疗水平低(P=0.012,OR=1.847)和对大学生城镇居民基本医疗保险的了解程度(P=0.009,OR=1.462)等5个因素进入Logistic回归模型。结论多数大学生的医疗消费意愿不是首选校医院就诊,这不利于医疗卫生资源的合理使用,既增加了学生的经济负担也无法使学生的健康权益得到充分保障;大学生的医疗消费意愿受多种因素影响,学校及相关部门应充分可虑这些影响因素的作用,采取加强校医院建设和大学生城镇居民基本医疗保险宣传等一系列积极有效的措施,增强大学生保险意识,引导大学生形成正确的医疗消费意愿和行为。Objective The current study was designed to determine the factors that affect the medical consumption intention among college students covered by basic medical insurance for urban residents, and to provide evidence for establishing scientific measures to guide college students in developing proper medical consumption intention and behavior. Methods Stratified cluster random sampling was used to survey undergraduate students from the first to the third year in three higher learning institutions （one poly- technic, one medical, and one ethnicity university） in Sichuan province. Chi square test was employed for single-variation analysis, and unconditional logistic regression was used for multi-variation analysis of the survey data. Results A total of 390 students were surveyed, with 375 valid questionnaires returned （96.2%）. Among the surveyed students, 107 （28.5%） chose the campus hospitals as their first choice of health care. In the multi-variation analysis, five factors were included in the logistic regression model, namely gender （P=-0.002, 0R=0.477）, age （P=0.038, 0R=0.725）, grade （P=0.039, 0R=0.495）, assumption that campus hospitals provide poor health care service （P=-0.012, OR=1.847）, and the awareness of basic medical insurance for urban residents （P=0.009, OR=1.462）. Conclusion Campus hospitals were not the first choice of medical care for most college students, which was not a rea- sonable utilization of medical resources. This situation increased the financial burden upon the students and failed to fully protect the health rights and interests of the students. The medical consumption intention of college students was influenced by multiple factors. Universities and competent authorities should take the impact of the influencing factors into full consideration, take effective measures to improve the infrastructure of the campus hospitals, promote basic medical insurance for urban residents, elevate the students＇ awareness of insurance, and guide them to develop appropria

关 键 词：医疗保险 大学生 校医院 医疗消费 就医意愿 就医行为 影响因素 LOGISTIC回归 

分 类 号：R181[医药卫生—流行病学]