四川省农村地区居民就医延迟行为现状及影响因素  

Current Situation and Influencing Factors of Delay in Seeking Medical Treatment Among Residents in Rural Areas of Sichuan Province

作　　者：冷芳群 周奕杉 廖晨帆 杜艳 吴玉菊[3] 王睿乾 蔡正杰 周欢[2] LENG Fangqun;ZHOU Yishan;LIAO Chenfan;DU Yan;WU Yuju;WANG Ruiqian;CAI Zhengjie;ZHOU Huan(Department of Epidemiology and Health Statistics,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;Department of Child Health and Maternal and Child Health,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院流行病与卫生统计学系,成都610041 [2]四川大学华西公共卫生学院/四川大学华西第四医院健康行为与社会医学系,成都610041 [3]四川大学华西公共卫生学院/四川大学华西第四医院儿少卫生与妇幼保健学系,成都610041

出　　处：《中国医学科学院学报》2023年第2期193-199,共7页Acta Academiae Medicinae Sinicae

基　　金：美国中华医学会基金(CBM 18-297);四川省医学科研课题(S18009)。

摘　　要：目的了解四川省农村地区居民常见症状的就医延迟现状,并探索影响四川省农村地区居民常见症状就医延迟行为的影响因素。方法2019年7月在四川省自贡市采取多阶段随机抽样的方法选取研究对象,采用入户面对面问卷访谈的方式收集数据。本研究以过去1年在家居住半年以上且最近1个月有就医经历的居民作为研究对象。采用Logistic回归分析就医延迟的影响因素。结果共纳入研究对象342名,就医延迟发生率为13.45%(46/342)。Logistic回归分析显示,与<65岁人群相比,≥65岁人群更可能发生就医延迟(OR=2.187,95%CI=1.074~4.457,P=0.031),农村居民对乡镇卫生院的总体质量评价评分越高,越不容易发生就医延迟(OR=0.854,95%CI=0.735~0.992,P=0.039)。结论四川省农村居民常见症状的就医延迟行为的发生情况较低,农村居民的年龄和居民对乡镇卫生院的总体质量评价均不同程度影响四川省农村地区居民的就医延迟的发生,建议重点增强农村老年人的疾病预防意识,并通过增加对乡镇卫生院的卫生资源投入,加强人才引进和能力培训,提高乡镇卫生院的卫生服务总体水平,引导居民及时利用卫生资源,减少就医延迟的发生。Objective To understand the current situation and explore the influencing factors of delay in seeking medical treatment for common symptoms of residents in the rural areas of Sichuan province.Methods In July 2019,multi-stage random sampling was carried out in Zigong city,Sichuan province,and the data were collected by face-to-face questionnaire interview.The residents who had lived at hometown for more than half a year in the past year and had seen a doctor in the most recent month were surveyed.Logistic regression was adopted to predict the influencing factors of delay in seeking medical treatment.Results A total of 342 subjects were enrolled,and the incidence of delay in seeking medical treatment was 13.45%(46/342).Compared with the young and middle-aged(<65 years)people,the elderly(≥65 years)people were more likely to have delay in seeking medical treatment(OR=2.187,95%CI=1.074-4.457,P=0.031).The rural residents who gave higher score of the overall quality of township health centers were less likely to have delay in seeking medical treatment(OR=0.854,95%CI=0.735-0.992,P=0.039).Conclusions The occurrence of delay in seeking medical treatment for common symptoms of rural residents in Sichuan province is low.Age and the overall quality evaluation of township health centers affect the occurrence of delay in medical treatment among the rural residents in Sichuan province.Efforts should be made to improve the awareness of disease prevention among the elderly in rural areas.The investment in health resources in township health centers should be increased to strengthen the introduction and training of talents.These measures can improve the health services in township health centers,guide residents to make timely use of health resources,and reduce the occurrence of delay in seeking medical treatment.

关 键 词：农村居民 就医延迟行为 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]