大连市精神疾病患者就医意向与卫生服务利用调查

Intent of help- seeking and health service utilization research of patients with mental disorder in Dalian

目的探讨大连市精神疾病患者就医意向及对精神卫生服务资源的利用情况。方法采取多阶段分层随机抽样方法抽取大连市年龄≥18岁的居民5062人,采用复合性国际诊断交谈检查表CIDI3.0进行入户调查,对患有各类精神疾病的410位居民的就医意向及卫生服务资源利用状况进行研究分析。结果在各类精神疾病患者中,仅4.6%患者病后会采取不同的方式求助,其中女性求助比例(8.7%)高于男性(2.6%);求助对象中精神科医师所占比例(68%)最高;推迟求助的原因涉及到个人对症状认识、病耻感、经济负担、医疗保险、医疗资源的获得以及对卫生服务机构的满意度等。结论大连市民患精神疾病后求助意向低,对精神卫生服务资源的利用明显不足。

Objective To explore the intent of help - seeking of patients with mental disorders and the utilization of healthservice in Dalian. Methods 5062 inhabitants （≥18 years） from Dalian rural and urban areas received the investigation with CIDI 3.0by the multi - stage stratified random sampling method. Of which 410 people were diagnosed with mental disorders. Their intent of help- seeking and health service utilization were analyzed. Results Only 4. 6% of patients would seek help from relative staffs after theywere diagnosed with mental disorder. The ratio of help - seeking was higher in female than that in male （ 8. 7% vs. 2. 6% ）. The help- providers were psychiatrists which has arrived the highest proportion of 68%. Factors such as personal awareness of symptoms,stigma, economic burden, medical insurance, availability of health services and the satisfaction to health services were the mainreasons that people put off seeking help. Conclusion The mental health services utilization was not optimistic.