摘要
目的:对农村居民患重大疾病时选择医院的意向及关注因素进行研究分析,为相关政策制定与进一步研究提供参考。方法:通过随机抽样对山东、山西、辽宁、贵州和黑龙江5个省份的农村居民进行问卷调查,运用统计描述分析方法与卡方检验对农村居民大病就医意向及关注因素进行分析研究。结果:多数农村居民选择去县级医院及其以上医院进行大病就医,仍有16.71%的农村居民选择在村卫生室和乡镇卫生院就医。不同年龄、婚姻状态、文化水平和家庭年收入水平农村居民的就医意向比较,差异有统计学意义。选择村卫生室和乡镇卫生室的农村居民主要关注的是经济因素,而选择县级医院及其以上级别医院的农村居民主要关注医院医疗水平。结论:经济因素与医院医疗水平是影响农村居民患大病时不同医院就医的关键因素。实现农村居民"大病不出县"目标既要完善城乡居民基本医保与大病医保之间的政策衔接,还需加速优质医疗资源下沉县级医院进程。
Objective: To study and analyze the intention of rural residents choosing hospitals when they suffer from catastrophic diseases and the concerned factors, and to provide references for related policy and further research making. Methods: A questionnaire survey was conducted among rural residents in Shandong, Shanxi, Liaoning, Guizhou and Heilongjiang by random sampling. Statistical descriptive analysis and Chi-square test were used to analyze the intention of rural residents seeking medical treatment for catastrophic diseases and the concerned factors. Results: Most of the rural residents chose to go to county-level hospitals and hospitals above for catastrophic disease treatment, only 16.71% of the rural residents chose to go to village clinics and township hospitals for treatment.There were significant differences in the intention to seek medical treatment among rural residents of different ages, marital status,educational level and annual family income level. The rural residents who chose village clinics and township clinics were mainly focused on the economic factors. The rural residents who chose county-level hospitals and hospitals above paid attention to the healthcare level of hospitals. Conclusion: Economic factors and hospital medical level were the key factors affecting the hospitalization of rural residents in different hospitals when they had serious disease. In order to achieve the goal of 'healthcare for catastrophic diseases in counties' for rural residents, it was suggested not only to perfect the policy link between basic medical insurance and catastrophic disease medical insurance for urban and rural residents, but also to speed up the process of sinking high-quality medical resources into county-level hospitals.
作者
王慧
康正
李远雷
郑岩
田国梅
吴群红
赵苗苗
马梅燕
WANG Hui;KANG Zheng;LI Yuan-lei(Social Medical Section,School of Health Management,Harbin Medical University,Harbin,150081,China)
出处
《中国卫生经济》
北大核心
2019年第3期59-62,共4页
Chinese Health Economics
基金
国家自然科学基金项目(71573068)
国家自然科学基金重点项目(71333003)
黑龙江省普通本科高等学校青年创新人才培养计划项目(UNPYSCT-2017050)
中国博士后科学基金第11批特别资助项目(2018T110319)
2017年度黑龙江省政府博士后资助经费项目(LBH-Z17102)
关键词
农村居民
重大疾病
就医意向
rural resident
catastrophic disease
intention to seek medical treatment
