泉州市居民就医行为调查

Survey on the behavior of seeking medical treatment among residents,Quanzhou city

目的了解泉州市社区居民就医行为现状及影响因素。方法采用分层随机抽样调查社区14~69岁居民的就医行为。结果调查2 268名居民,16~30岁居民去药店自行买药者占48.52%,61~岁居民选择基层医疗卫生机构者占51.00%,不同年龄居民就医选择差异有统计学意义(P<0.01);本科及以上者去药店自行买药者占51.64%,文盲者选择基层医疗卫生机构者占53.46%,不同学历居民就医选择差异有统计学意义(P<0.01);新农保居民中去药店自行买药者占43.00%,选择基层医疗卫生机构者占40.13%,不同保险类型居民就医选择差异有统计学意义(P<0.01);市区居民去药店自行买药者占50.06%,农村居民选择基层医疗卫生机构者占50.10%,不同居住地居民就医选择差异有统计学意义(P<0.01);户口外地的居民去药店自行买药者占49.33%,本地居民选择基层医疗卫生机构者占47.17%,不同户口居民就医选择差异有统计学意义(P<0.01)。结论泉州市社区居民年龄、学历、保险类型、户口和居住地对就医行为产生影响。

Objective To understand the current situation and influencing factors of behavior in seeking medical treatment among community residents. Methods The stratified random sampling method was used to investigate the behavior of 14-69 year old residents in the community. Results A total of 2 268 residents were surveyed,48.52% of the 16-30 year old residents went to the drugstore to buy their own medicines,and 51.00% of 61 year old above residents chose the primary health care institutions. The difference of seeking medical treatment among the residents of different ages was statistically significant （ P 〈0.01）. About 51.64% of undergraduates bought drugs themselves from the drugstores, 53.46 of illiterates chose primary health care institutions, and the difference between them was statistically significant （ P〈 0.01）. Among the new rural insurance residents,43.00% of them went to pharmacies and 40.13% chose primary medical and health care institutions. There were significant differences in the choice of medical treatment among the residents of different types of insurance （P 〈0.01）. 50.06% of urban residents bought drugs themselves from the drugstores, 50.10 % of rural residents chose primary health care institutions,and the difference between them was statistically significant among residents with different residence seeking medical treatment （P〈 0.01）;49.33% of immigrant residents bought drugs themselves from the drugstores, 47.17 % of local residents chose the primary medical and health care institutions,and the difference was statistically significant （ P 〈0.01）. Conclusion Age, education, type of insurance, household registration and residence have an impact on seeking medical treatment behavior.