某县糖尿病患者就医选择及其影响因素分析  

Analyzing the Behaviors of Seeking Medical Services of Patients with Diabetes in one County and Its Influencing Factors

作　　者：谷小丽[1] 殷璇[1] 钱东福[1] 

机构地区：[1]南京医科大学医政学院,江苏南京210029

出　　处：《中国卫生事业管理》2017年第7期550-552,555,共4页Chinese Health Service Management

基　　金：国家自然科学基金面上项目"基于综合激励模型的农村慢性病卫生服务纵向整合策略研究"(编号:71473130)

摘　　要：目的:分析河南省息县农村糖尿病患者的就医选择及其影响因素。方法:采取随机整群抽样,以现场问卷形式进行调查。采用描述性分析、单因素分析和二分类logistic回归分析等统计学方法分析糖尿病患者就医选择及其影响因素。结果:58.2%的农村糖尿病患病患者倾向于基层医疗机构就诊。患病时间、自感健康状况、医药费用负担以及经济收入的糖尿病患者就医机构选择有统计学差异(均P<0.05)。Logistic回归分析结果显示,患病时间、自感健康状况、医药费用负担及经济收入是息县糖尿病患者就医选择的影响因素。结论:息县糖尿病患者的就医选择较为理智,政府应当继续加强基层医疗卫生服务机构的医疗以及慢性健康管理服务能力,进一步改善慢性病患者的就医选择行为。Objective To study the behaviors of seeking medical services of patients with diabetes in one county of Henan and its influencing factors. Methods Patients were sampled with the random cluster sampling method and surveyed with questionnaire. Data was analyzed with descriptive analysis, chi - square test and multinomial logistic regression. Results 58.2% of the rural pa- tients with diabetes tended to grass -roots health care institution. Multinomial logistic regression analysis showed that factors of disease duration time, self - perceived health status, burden of medical services and income can influence the patients＇ behavior of seeking medical services. Conclusion The behavior of seeking medical services of patients with diabetes in Xi＇ xian County was rational. It is suggested for the government to strengthen the capability of medical services and health management of grass - roots health care institution and improve the patients＇ behavior of seeking medical services.

关 键 词：就医选择 影响因素 原因 糖尿病 

分 类 号：R587.1[医药卫生—内分泌]