| 引用本文: |
吴焕,聂丽,吕晖王,等.分级诊疗视角下河南省农村居民常见病首诊机构选择行为分析[J].中国卫生经济,2017,(5):69-71.[点击复制] |
.Residents’ first choice behavior of common disease under hierarchical medical system in Henan rural area[J].CHINESE HEALTH ECONOMICS,2017,(5):69-71.[点击复制] |
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| 摘要: |
| 目的 对河南省农村居民“常见病”首诊机构选择行为进行分析，探索影响农村居民就诊行为的因素，为完善基层首诊制度提供参考依据。 方法 采用描述性统计分析对样本进行简单描述，采用多因素logistic回归分析对农村居民在患“常见病 ”时首诊机构选择的各种影响因素进行分析。 结果 农村居民在“感冒发烧”与“感冒发烧”以外常见病的就医行为方面存在不同，其差异具有显著性（P=0.000）；职业不同对“感冒发烧”首诊行为影响不同（P=0.022）；文化水平不同对“感冒发烧”以外常见病首诊行为影响不同（P=0.000）。 结论 常见病类型影响了居民的首诊行为，对于“感冒发烧”，从事农业劳动的农村居民更倾向于基层首诊，对于“感冒发烧”以外的常见病，文化程度越高的村民越倾向于大医院首诊，收入水平并未成为农村居民常见病就医的障碍，首诊制的认知情况并未对农村居民首诊行为起到引导作用。 |
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| Residents’ first choice behavior of common disease under hierarchical medical system in Henan rural area |
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| Abstract: |
| Objective to explore the factors that affect the treatment behavior of rural residents in Henan Province. and to provide reference for the improvement of initial Medical Care. Methods the method of statistical analysis was used to describe the sample, the multivariate Logistic Regression analysis was used to analysis of the factor that influence the selection of the first medical institution in the patients with "common disease". Results the rural residents in “cold and fever” and other common diseases, their behaviors with significant difference(p=0.000);different occupational effects on the first diagnosis of “cold and fever” was significant(p=0.022);different educational level effects on the first diagnosis of other common diseases was significant(p=0.000). Conclusion the initial medical care of common diseases is influenced by the type of diseases, agricultural laborers were more likely to primary diagnosis when they got a “cold and fever”; the well-educated rural residents were more likely to go to the large hospital, the income level of rural residents has not become the obstacle of curing common disease, the cognition of initial Medical Care was not play a guiding role for the treatment behavior of rural residents |
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