我国居民互联网医疗健康咨询现状分析

Analysis on the status quo of Internet medical health consultation for residents in China

目的:了解我国居民互联网医疗健康咨询现状及影响因素,并为互联网医疗科学发展提供建议,更加便捷有效安全地为居民提供医疗卫生服务。方法:利用2016年全国居民卫生服务利用监测数据,进行居民互联网医疗健康咨询的现状分析,并构建居民互联网医疗健康咨询回归模型,以居民是否选择在互联网上进行医疗健康咨询被解释变量,以年龄、性别、婚姻状况、户籍、工作、文化程度等为解释变量,进行二元Logistic回归分析,研究居民互联网医疗咨询的影响因素,并针对性地更好的控制提出相关建议。结果:经过数据筛选,最终纳入研究的样本量为5658人。在5658名调查对象中,有752人通过互联网咨询医疗健康信息,占比为13.3%。不同年龄组、婚姻状况、文化程度、户籍、就业状况、家庭人均年收入及是否患有慢病人群之间在选择是否通过互联网咨询医疗健康信息均不同;25~34岁、文化程度中学及以上、城市户籍、家庭人均年收入≥3万元的研究对象更倾向于在互联网上进行医疗健康信息的咨询(P<0.05)。结论:当前我国互联网医疗事业正处于变革之中,互联网医疗资源利用率偏低,互联网卫生资源的利用集中在城市、文化程度及收入偏高的人群当中,慢病患者对互联网卫生资源的利用偏低。应通过多途径发展互联网医疗,加强相关法制法规建设,提高技术保障支持,促进医疗卫生体制改革,缓解我国居民看病难、资源短缺及分配不均等问题,切实推进医疗卫生事业的快速发展。

Objective:To understand the current situation and influencing factors of Internet health consultation in China, provide suggestions for the development of Internet medical science and provide health services to residents more conveniently, effectively and safely. Methods: Using the 2016 national resident health service utilization monitoring data, conduct an analysis of the status quo of Internet medical health consultation, and construct a resident Internet medical health consultation regression model.Whether the residents choose to conduct medical health consultation on the Internet is the dependent variable,the independent variables are age, gender, marital status, household registration, work, education,etc,Conducting binary logit regression analysis to study the influencing factors of residents’ Internet medical consultation, and make relevant suggestions. Results: After data screening, the sample size of the final study was 5,658. Of the 5,658 respondents, only 752 consulted medical health information via the Internet, accounting for only 13.3%. Different age groups, marital status, education level, household registration, employment status, whether there is chronic illness and per capita income are different in choosing whether to consult medical health information through the Internet;25~34 years old, education level middle school and above, city residents,subjects with a per capita income of≥30 000 Yuan are more likely to consult medical health information on the Internet(P<0.05). Conclusion: At present, Chinese Internet medical industry is undergoing changes, and the utilization rate of Internet medical resources is low. It is necessary to strengthen the construction of relevant laws and regulations, improve technical support, promote the reform of the medical and health system, and alleviate the difficulties of Chinese residents in medical treatment, resource shortage and uneven distribution to effectively promote the rapid development of medical and health undertakings.