安徽省大学生就医行为及其影响因素分析

Hospital Visiting and the Influencing Factors Among College Students in Anhui

目的了解安徽省大学生患病后就医行为及其影响因素,为制定科学的干预措施,促进身体健康提供依据。方法采用整群随机抽样方法,对安徽省3所高校900名大学生进行问卷调查。结果患病后就诊率女生(79.9%)高于男生(72.1%),城镇(81.8%)高于农村(74.1%),老生(80.2%)高于新生(65.1%),差异均有统计学意义。患病后约有25%的学生坦言受经济拮据影响,怕花钱,故不能及时就诊;学校医疗机构服务质量差,对患者的及时就诊率也有影响;患病后大部分学生首选校医院就诊,不同性别、不同生源地及新老生之间差异均有统计学意义(P值均<0.05)。大学生门诊病例中,精神卫生方面问题占4.0%。结论大学生的就医行为受多种因素影响,政府应完善大学生医疗保障制度,同时学校医疗机构要加强自身建设,提供优质服务。

Objective To research the situation of hospital visiting and the influencing factors of college students in Anhui province, and to provide evidence for health improvement. Methods A questionnaire survey was conducted among 900 college students from three universities in Anhui province by cluster random sampling. Results The visiting rate of female students （ 79.9%） , students from towns or cities （ 81.8% ） and senior students（80.2% ） was higher than that of male students（ 72.1% ） , students from countryside （74.1% ） and freshmen（65.1% ） , respectively. About 25% students reported that their refusal of visiting hospital resulted from their economic plight. The poor service quality of the campus medical institution decreased the patients＇ visiting rate. The majority of students firstly visited campus hospital. There was difference among students＇ genders, family locations and grades. Out of all cases, 4.0% was about the mental disorders. Conclusion Many factors influence the students＇ hospital visiting. Government should improve the medical security system. Campus medical institution should be strengthened to offer better service.