摘要
目的了解流动人口中慢性病患者的就医现状及其相关影响因素,以合理引导其就医行为选择。方法以Anderson卫生服务利用模型为理论基础,采用分层模型对2017年全国流动人口动态监测调查数据和《2019中国卫生健康统计年鉴》数据进行分析。结果 88.51%的流动人口慢性病患者在生病时会选择就医,选择在基层医疗机构就诊的比例为21.12%。多水平logistic回归结果显示,健康教育(OR=1.396)、健康档案(OR=1.273)、医疗保险(OR=1.447)、从居住地到最近医疗机构的时间≤15 min(OR=1.329)、自评健康较差(OR=1.611)、政府卫生支出占卫生总费用的比例(OR=1.048)是选择就诊的促进因素。健康教育(OR=1.407)、健康档案(OR=1.487)、从居住地到最近医疗机构的时间≤15 min(OR=1.273)是选择基层医疗机构就诊的促进因素。结论流动人口慢性病患者就医行为与个体因素有关,并且与地区政府卫生支出占卫生总费用的比例有关。
Objective To examine the status and influencing factors of medication seeking behaviors among migrant population with chronic diseases for promoting reasonable medication seeking in the population. Methods The data on5 657 migrant people with chronic diseases(aged 18-96 years, averagely 51.25 ± 12.02) were extracted from Dynamic Monitoring Survey among Migrant Population conducted in 2017 across China and that on population were from China Health Statistics Yearbook-2019. Based on Anderson behavioral model for health services utilization, hierarchical model was used to analyze influencing factors of medication seeking behaviors among migrant people with chronic diseases.Results Of the patients surveyed, 88.51% reported seeking medication when being ill during previous one year and only21.12% reported ever seeking medical services in primary medical institutions. The results of multi-level logistic regression analysis revealed following promoting factors for seeking medication during previous one year: ever receiving health education(odds ratio [OR] = 1.396), with their health records being established(OR = 1.273), with medical insurance(OR =1.447), with a residence no more than 15 minutes away from a nearest medical institution(OR = 1.329), having poor selfrated health(OR = 1.611), and higher proportion of government health expenditure in total health expenditure(OR = 1.048);the results also indicated that ever receiving health education(OR = 1.407), with their health records being established(OR =1.487), and with a residence no more than 15 minutes away from a nearest medical institution(OR = 1.273) were promoting factors for seeking medical service in primary medical institutions. Conclusion Among adult migrant people with chronic diseases, both personal factors and the proportion of government health expenditure in total health expenditure are associated with medication seeking behaviors.
作者
贺安琦
喻妍
郑思
梁静
HE An-qi;YU Yan;ZHENG Si(Department of Social Medicine and Health Management,School of Health Sciences,Wuhan University,Wuhan,Hubei Province 430071,China)
出处
《中国公共卫生》
CSCD
北大核心
2022年第1期75-79,共5页
Chinese Journal of Public Health
基金
美国中华医学基金会(China Medical Board)(17–273)。
关键词
流动人口
慢性病患者
就医行为
基层就诊
migrant population
chronic disease patients
medication seeking behavior
seeking medical service at primary medical institutions
