分级诊疗背景下基于CHNS数据的我国居民就医行为影响因素分析  

Study on the influencing factors of residents’ healthcare seeking behavior in China under the background of Hierarchical Medical System——Based on CHNS data

作　　者：陈晨 郑梦 高一瑞 陆维 朱俊利 CHEN Chen;ZHENG Meng;GAO Yirui;LU Wei;ZHU Junli(School of Public Health,Capital Medical University,Beijing,100069,PRC)

机构地区：[1]首都医科大学公共卫生学院卫生管理与政策学系/首都卫生管理与政策研究基地,北京市100069 [2]首都医科大学公共卫生学院/首都卫生管理与政策研究基地,北京市100069

出　　处：《中国医院》2022年第6期19-22,共4页Chinese Hospitals

基　　金：国家自然科学基金项目(71974133);北京市自然科学基金项目(9192004)。

摘　　要：目的:探究居民就医行为的影响因素并提出对策建议,为促进居民就医行为合理化、推进分级诊疗制度建设提供依据。方法:利用2015年中国健康与营养调查(CHNS2015)数据,通过卡方检验和逻辑回归分析,探究居民就医意愿和就医选择的影响因素。结果:地区、医保类型和居民健康状况会影响居民的就医意愿,婚姻状况、年龄和地区会影响居民对医疗机构的选择。结论:居民就医行为受个人特征和政策因素的影响,因此既要引导居民养成良好的就医习惯,同时应进一步完善医保政策,以促进分级诊疗健康发展。Objective:To explore the healthcare seeking behavior and influencing factors of residents in China,putting forward suggestions to provide the basis for promoting the rationalization of residents’ behavior and the construction of hierarchical medical system.Methods:Using the data of the 2015 China Health and Nutrition Survey (CHNS2015),the Chi square test and logistic regression analysis were conducted to explore the factors affecting residents’ willingness to seek medical treatment and their choice of medical treatment.Results:Regions,types of health insurance,and residents’ health status can affect residents’ willingness to seek medical care.Marital status,age,and region can influence the choice of medical institutions for residents.Conclusion:Residents’ healthcare seeking behavior is affected by personal characteristics and policy factors.Therefore,we should not only guide residents to develop good medical treatment habits but also improve the health insurance policy to promote hierarchical diagnosis and treatment to develop health.

关 键 词：分级诊疗 就医行为 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]