摘要
目的了解江苏省徐州市城市居民慢性病就医意愿及其影响因素,为合理配置卫生资源、方便居民就医提供参考依据。方法于2016年7—8月采用分层随机抽样方法在徐州市抽取710名年龄≥18岁城市居民进行问卷调查。结果徐州市710名城市居民中,慢性病就医意愿选择基层医疗卫生机构者300人(42.3%),选择区级医院者172人(24.2%),选择市级医院者238人(33.5%);多因素非条件logistic回归分析结果显示,去年月均收入≥3000元的徐州市城市居民慢性病更愿意选择区级和市级医院就医,而年龄≥50岁、有基层就医经历、知晓分级诊疗制度和支持分级诊疗制度态度的徐州市城市居民慢性病更愿意选择基层医疗卫生机构就医。结论徐州市城市居民慢性病有基层就医意愿者比例较低;年龄、去年月均收入、基层就医经历、是否知晓分级诊疗制度和对分级诊疗制度的态度是该地区城市居民慢性病就医意愿的主要影响因素。
Objective To examine the intention in medical institution selection for diagnosis and treatment of chronic diseases and its influencing factors among adult residents of urban Xuzhou,Jiangsu province and to provide references for rational allocation of medical resources and improvement of medical service.Methods Using stratified random sampling,we conducted a face-to-face survey among 750 permanent adult residents(>18 years)in 6 communities of urban Xuzhou with a self-designed questionnaire during July-August 2016.Results Of the 710 residents completing the survey,42.3%(300)reported the intention of selecting grass-roots medical institutions when suffering from a chronic disease;24.2%(172)and 33.5%(238)reported the intention of selecting medical institutions at district and municipal level.The results of multivariate logistic regression analysis revealed that the participants with a monthly income of 3000 yuan(RMB)and more in previous one year were more likely to select medical institutions at district or municipal level;whereas,the participants aged 50 and above,ever having medication in community healthcare service institutions(CHSI),and being aware of hierarchical diagnosis and treatment system and with a supportive attitude to the system were more likely to select CHSI.Conclusion Among adult residents in urban communities of Xuzhou city,the intention of selecting grass-roots medical institutions for chronic disease medication services is at a low level and the intention of medical institution selection is influenced mainly by age,average monthly income in previous year,experience of having medical services in CHSI,and the awareness of the hierarchical diagnosis and treatment system and supportive attitude towards the system.
作者
苗春霞
李寒寒
姜金星
卓朗
王问海
孙泓
周崔红
赵世鸿
MIAO Chun-xia;LI Han-han;JIANG Jin-xing(Research Centre of Health Policy and Health Management,Xuzhou Medical University,Xuzhou,Jiangsu Province 221004,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2021年第1期123-127,共5页
Chinese Journal of Public Health
基金
2019年度国家社会科学基金(19BGL251)。
关键词
慢性病
就医意愿
影响因素
城市居民
chronic disease
intention of seeking medication
influencing factor
urban residents
