摘要
采用随机分层抽样法,抽取914名农村居民作为调查对象,了解农村居民对分级诊疗制度的认知情况、就医选择特点及影响其就医选择的相关因素。结果表明,57.33%的调查对象不知晓分级诊疗制度,79.87%的调查对象对分级诊疗制度持赞同意见;患小病/常见病时,64.99%的调查对象选择到基层医院就诊,20.02%的调查对象选择到二三级医院就诊,14.99%的调查对象选择到私人诊所/药店就诊;在医疗服务态度、医院卫生环境、设施设备完善度方面,调查对象对二三级医院的总体满意程度优于基层医院;月平均收入、与最近基层医院的距离(步行时间)、知晓分级诊疗制度、购买医保和自评健康状况是影响农村居民就医选择的主要因素。
914 rural residents were selected by random stratified sampling method to understand their cognition of hierarchical diagnosis and treatment system,the characteristics of medical treatment choice and the relevant factors influencing their medical treatment choice.The results showed that,57.33% of the respondents did not know the hierarchical diagnosis and treatment system,79.87% of the respondents agreed with the hierarchical diagnosis and treatment system;when suffering from minor diseases/common diseases,64.99% of the respondents chose to go to primary hospital,20.02% of the respondents chose to go to secondary and tertiary hospital,and 14.99% of the respondents chose to go to private clinics/pharmacies;in terms of medical service attitude,hospital health environment,facilities and equipment perfection,the overall satisfaction degree of the respondents to the secondary and tertiary hospital was better than that of the primary hospital;average monthly income,distance from the nearest primary hospital(walking time),awareness of hierarchical diagnosis and treatment system,purchase of medical insurance and self-assessment of health status were the main factors influencing the medical treatment choice of rural residents.
作者
杨倩
项莉
YANG Qian;XIANG Li(School of Medicine and Health Management,Huazhong University of Science and Technology,Wuhan 430000,China)
出处
《湖北农业科学》
2021年第8期185-189,共5页
Hubei Agricultural Sciences
基金
国家自然科学基金资助(71573095)。
关键词
分级诊疗
农村居民
基层医院
就医选择
hierarchical diagnosis and treatment
rural residents
primary hospital
choice of medical treatment
