分级诊疗背景下山东省农村居民就医行为及影响因素分析

Analysis of medical treatment behavior and influencing factors of rural residents in shandong province under the background of graded diagnosis and treatment

目的了解农村居民的就医行为,分析就医行为的影响因素,及分级诊疗制度对就医行为的影响,为制度优化提供政策建议。方法采用方便抽样,自行设计问卷进行调查。结果仅有44.39%的居民患病时选择就医,主要的就医地点为诊所/村卫生室、药店等,选择上述就医地点的原因主要包括就医习惯、距离近、医疗费用低、等待时间短等。患病未就医原因主要包括经济条件限制、自我医疗、自认为病情不重、等待时间长等。不同年龄、家庭年收入、文化程度的居民就医行为差异有统计学意义(P<0.05)。结论绝大多数的农村居民存在着患病未就医的行为,主要是受经济状况和分级诊疗制度的影响。

Objective To understand the medical behavior of rural residents,analyze the influencing factors of medical behavior,and the impact of hierarchical diagnosis and treatment system on medical behavior,so as to provide policy suggestions for system optimization.Methods Convenient sampling and self-designed questionnaire were used.Results Only 44.39%of residents choose to seek medical treatment when they fall ill,and the main places for medical treatment are clinics/village clinics,pharmacies,etc.The reasons for choosing the above places mainly include medical habits,short distance,low medical costs,and short waiting time.The main reasons for not seeking medical treatment include limited economic conditions,self-medical treatment,self-belief that the disease is not serious,and long waiting time.Residents of different ages,family annual income and education level showed statistically significant differences in medical treatment behavior(P<0.05).Conclusion The majority of rural residents do not seek medical treatment due to illness,mainly due to the impact of economic conditions and hierarchical medical system.