我国老年慢性病患者医院选择行为研究  

Study on hospital choice behavior of elderly patients with chronic diseases in China

作　　者：曾国华[1] 刘萍 刘云飞 ZENG Guohua;LIU Ping;LIU Yunfei(School of Economics and Management,Jiangxi University of Science and Technology,Ganzhou 341000,Jiangxi,China;Agricultural Development Bank of China Jiangxi Branch,Ganzhou 341000,Jiangxi,China)

机构地区：[1]江西理工大学经济管理学院,江西赣州341000 [2]中国农业发展银行江西省分行,江西赣州341000

出　　处：《中国现代医生》2023年第3期88-91,115,共5页China Modern Doctor

基　　金：国家社会科学基金一般项目(18BGL246);国家级大学生创新创业训练计划项目(202010407029)。

摘　　要：目的了解我国老年慢性病患者医院选择行为及影响因素。方法利用中国健康与家庭养老人口跟踪发展研究专题调查(China health and retirement longitudinal study,CHARLS)2013年和2018年近2万份样本数据,采用二元Logistic回归进行分析。结果超半数患者去过基层医院就诊,30%~40%的患者去过三级医院就诊,只有10%左右的患者去过二级医院就诊,相较于2013年,2018年去三级医院的患者比例明显增加;户口、文化程度、健康自评、病种、医保、经济收入可影响我国老年慢性病患者的医院选择。结论需要相关部门加大对基层医院的政策帮扶及宣传,引导老年慢性病患者根据自身情况合理选择就诊的医院。Objective To understand hospital choice behavior of elderly patients with chronic diseases and its influencing factors.Methods Nearly 20,000 samples of CHARLS(China Health and Retirement Longitudinal Study)in 2013 and 2018 were used for analysis by binary Logistic regression.Results More than half of the patients went to primary hospitals,30 to 40 percent went to tertiary hospitals,and only about 10 percent went to secondary hospitals.Compared with 2013,the proportion of patients who went to tertiary hospitals increased significantly in 2018.Household registration,education level,self-assessment of health,diseases,medical insurance and income affect the choice of hospitals for elderly patients with chronic diseases.Conclusion It is necessary for relevant departments to increase the policy assistance and publicity to grassroots hospitals,and guide elderly patients with chronic diseases to choose hospitals reasonably according to their own conditions.

关 键 词：老年慢性病患者 医院选择 医院选择影响因素 分级诊疗 

分 类 号：R058[医药卫生]