基于FA法的广州市居民选择医院影响因素的分析

Analysis of Factors Influencing Outpatients' Choice of Selecting Care Providers in Guangzhou Based on FA Method

目的了解广州市居民医院选择情况,找出居民选择不同医院的主要相关因素,为分级诊疗制度推进提出一些理论参考。方法分层随机抽取广州市3个区,每个区选择6家医疗机构作为调查点,每个调查点随机抽取50名就诊居民展开问卷调查。结果调查927人,因子分析(factor analysis,FA)法结果提取5个因子。雷达图显示选择社区卫生服务中心等基层医院的居民在收费水平(0.12分)上的标化因子得分比较高,选择省级医院居民在设备水平(0.30分)、服务环境和态度方面(0.22分)得分较高。结论居民选择医院时比较注重收费、设备、服务环境和态度情况,分级诊疗推行时尤其要重视这些方面。

OBJECTIVE To investigate the hospital choice of the residents in Guangzhou, find out the main factors influencing hospital selection. Some theoretical reference for the promotion of hierarchical diagnosis and treatment system could be put forward. METHODS Stratified random sampling was conducted in 3 districts of Guangzhou. 6 medical institutions were selected as survey sites in each district, and 50 residents were randomly selected from each survey point to carry out a questionnaire survey. RESULTS Finally,the 927 valid questionnaires were retrieved. 5 factors were extracted. Residents chose a community health service center and other basic hospital had relatively higher scores（0.12） in the medical expenses. Residents chose the provincial hospital had relatively higher scores in the equipment（0.30） and the service environment or attitude（0.22）. CONCLUSION Residents payed more attention to the medicalfee, medical equipment, service environment and attitude when they chose hospitals, so it should be attracted attention.