摘要
目的分析慢性病患者就医选择及影响因素,为完善社区慢性病综合防治提供政策建议。方法采用分层整群随机抽样,随机抽取深圳市5个城区12个社区卫生服务中心和6家医院661名慢性病门诊患者为研究对象,拟合包括个体和城区两个水平的多水平等级Logistic模型,分析慢性病患者社区就诊影响因素。结果慢性病患者主要选择社区就诊比例占42.97%,患者就医选择存在地区聚集性,主要受宏观层面因素影响,包括医疗保障制度和社区卫生服务能力,而个体特征为女性、老年人、患高血压和并发证少的倾向选择社区就诊。结论扩大医保覆盖率,提高社区卫生服务能力,可合理引导慢性病患者的就医选择。
Objectives To analyze the characteristics and influence factor of health seeking behavior of patients with chronic diseases,and provide advice for improvement of chronic disease management in community. Methods 661 patients with chronic diseases were sampled from 12 CHS centers and 6 hospitals by using stratified-cluster sampling,two-level cumulative logistic regression model including the levels of community and individual were applied to estimate the influence factor. Results The proportion of choosing CHS was 42.97%.The mainly affecting factors of choosing CHS were medical insurance and service capabilities of CHS,and the individual characteristics including female,elder,hypertension and less complications were the factors influencing the tendency of choosing CHS. Conclusions Expand health insurance coverage,and improve capabilities of CHS guiding the health seeking behavior of Chronic disease.
出处
《中国社会医学杂志》
2011年第4期249-251,共3页
Chinese Journal of Social Medicine
关键词
慢性病
就医行为
多水平模型
Chronic disease
Health seeking behavior
Multi-level model
