成都市武侯区医疗服务需方分流影响因素分析

ANALYSIS OF THE INFLUENCE FACTORS OF HEALTH SERVICE DEMANDER TRIAGE IN WUHOU DISTRICT OF CHENGDU

[目的]了解居民就医意愿和影响因素,为引导其合理分流和医院发展战略提供科学依据。[方法]抽取成都市武侯区208名居民,采用自行设计的问卷进行调查。[结果]医疗保障形式不同的居民在就医流向上有统计学差异,这可能与"折扣心理"有关。并且他们最看重医疗质量、所患病性质、医院收费高低和医务人员服务态度。[结论]可尝试通过医疗保险的分级报销比例的设置、划分大型综合医院、发展社区的特色卫生服务、建立各级医院利益共同体实现合理转诊引导分流,吸引需方理智就医,并及时收集信息,洞察就医行为心理的变化,做出相应调整。

[Objective] To investigate intention and influence factors of residents to visit the doctors, and to guide the triage and hospital development strategy by providing scientific basis. [ Methods ] 208 residents in Wuhou district were collected as participants in the survey, and investigated with self-designed questionnaires. [Results] The survey shows that different forms of medical security of residents showed significant difference in triage, which may be related to ‘discount incline＇. And the） pay most intention to the quality of health care, sick nature, level of hospital fees and medical personnel service attitude. [Conclusion] It is better to setup and classify the large general hospital according to the proportion of reimbursement of medical security insurance. The development of community heahh service characteristics, establishment of the benefit integration of hospitals could achieve a reasonable triage referral guide. Besides, we should make related adjustments by timely collection of information, reasonable medical treatment and apperception of psychological and behavior＇s change of these patients.