青海某高校学生就医满意度和行为及影响因素分析

Analysis on the university students’ medical satisfaction, behavior and influential factors on a college in Qinghai province

目的了解青海大学学生在校期间健康状况、在校期间就医行为、就医满意度和影响就医行为的因素,为促进大学生健康提供基础数据。方法采用横断面研究方法对1 658名学生进行问卷调查。结果学生自评健康者413人,占24.91%;有1 226人有过就医行为,占73.94%;在有过就医行为的1 226人中,55.30%最近一次就医费用在100元以下;大学生选择医疗地点前三位为校医院、药店和公立医院,选择人数分别占39.80%、25.12%和15.66%;就诊疾病呼吸系统疾病占62.07%,消化道疾病占42.17%;对高校医疗表示满意或很满意者占39.80%,不满意者占9.64%;非医学专业(OR=1.602,95%CI:1.256~2.041)、自我保健意识差(OR=1.523,95%CI:1.197~1.937)、很不满意高校医疗服务(OR=13.290,95%CI:12.894~61.043)和就医态度不积极(OR=3.335,95%CI:2.616~4.252)是大学生就医行为的消极因素,性格外向(OR=0.731,95%CI:0.576~0.927)和患医疗费用300~500的疾病(OR=0.455,95%CI:0.315~0.656)是大学生就医行为的积极因素,各因素差异均有统计学意义(P<0.05),自评健康状况对大学生就医行为没有影响,差异无统计学意义(P>0.05)。结论青海大学学生自评身体健康状况较好,学生首选医疗机构为校医院,大部分学生的医疗费用为100元以下,就医满意度较高,专业、性格、我保健意识、就医满意度、就医态度和医疗费用是大学生就医行为的影响因素。

Objective To understand the health status of students in Qinghai university, the behaviors of medical treatment during the school period, the satisfaction of medical treatment and the factors that influence the behavior of medical treatment, and provide basic data for the promotion of college students’ health. Methods 1 658 students were surveyed by cross-sectional study. Results Students’ health number by self-assessment was 413, accounting for 24.91 %;1 226 people had medical behavior, accounting for 73.94 %. Among the 1 226 people who had had medical treatment,678 had the most recent medical treatment fee of less than 100 yuan, accounting for 55.30 %. The top three medical institutions for college students are school hospitals, pharmacies and public hospitals, with 39.80 %, 25.12 % and 15.66 %respectively. Respiratory diseases accounted for 62.07 % and gastrointestinal diseases accounted for 42.17 % in the treatment diseases. 39.80 % students were satisfied with the medical treatment of universities and 9.64 % were dissatisfied. Non-medical majors(OR=1.602, 95 % CI:1.256-2.041), poor self-care awareness(OR=1.523, 95 % CI:1.197-1.937), high satisfaction(OR =13.290, 95 % CI: 12.894-61.043) and non-active attitude toward medical treatment(OR=3.335, 95 % CI:2.616-4.252) were negative factors for college students’ medical behaviors,but extroversion(OR=0.731, 95 % CI: 0.576-0.927) and illnesses with medical costs of 300-500(OR=0.455, 95 % CI: 0.315-0.656) were positive factors. All factors were statistically significant(P<0.05). Self-evaluation of health status had no effect on college student behavior and there was no statistically significant difference(P>0.05).Conclusions Qinghai university students are in good health. The first choice medical institution for students is the school hospital. Most of the students’ medical expenses are under 100 yuan, and the satisfaction is higher. Professional, personality, self-care awareness,medical treatment satisfaction, medical treatment attitude and medical expenses are the influencing factors of college students’ medical behavior.