河南省某县农村居民医患人际连续性特征及影响因素分析

Analysis on the Characters and Predictors of Relational Continuity of Rural People in a County,Henan

目的:分析河南省某县农村居民医患人际连续性特征及影响因素,为引导居民合理就医、提高居民接受卫生服务的连续性提供依据。方法:通过分层抽样随机抽取该县农村居民进行问卷调查,获取有效问卷220份。结果:受调查的220人中,有180位居民表示自己有较为熟悉、信任的医生;180位存在医患联系的居民中,49.4%的居民表示与医生人际联系在10年以上;年龄、是否患有慢性病以及熟悉医生执业机构是人际连续性的影响因素(P<0.05);人际连续性越高的居民健康状况越差(P<0.05)。结论:农村居民与医生保持人际联系的时间较长,但这种联系并非真正意义上基于医患信任、忠诚、互惠的医患治疗关系。

Objective： To analyze the characters and predictors of relational continuity among rural people in a county, Henan province, to enhance extent in which rural people utilize continual health services. Methods： Stratified random sampling method was used to investigate rural people in a county, Henan province with questionnaire survey and 220 questionnaires were valid. Results： Of 220 respondents who were investigated, 180 reported that they had an acquainted and trusting doctor. Of these 180 residents who had a familiar doctor, nearly half had links with doctors for over 10 years. The age, whether had chronic diseases or not, being familiar with the doctors institutions were the influence factors of relational continuity. The higher the relational continuity, the worse the residents＇health conditions. Conclusion： Mostly rural practitioner have been in touch with a doctor for a long time. This connection, however, is not on the basis of trust, loyalty and reciprocity.