北京市抑郁症患者首次就诊地点调查及原因分析

Investigation and analysis the choice of different types of hospitals when seek medical treatment at thefirst time for depression patients in Beijing

目的探索北京市抑郁症患者首次就诊地点选择及其影响因素。方法以2019年2—8月在北京14家医疗机构门诊确诊的抑郁症患者作为调查对象,采用自制的首诊抑郁症患者就诊现状调查问卷对患者进行首次就诊地点调查及进行原因分析。结果4317人参与调查,2770人填写调查内容并纳入分析。首次就诊选择综合医院者占42.58%(1061/2492),主要原因是就诊方便(238人);首次就诊选择精神专科医院占32.10%(800/2492),主要原因是精神专科医院或医师更专业(577人)。在首次就诊选择精神专科医院的患者中,北京市医保(72.16%,425/589)、45岁以下(89.25%,714/800)、本科及以上学历(84.63%,556/657)、自我评估疾病为中度(46.40%,316/681)及重度(16.89%,115/681)患者比例高于选择综合医院的患者,差异有统计学意义(均P<0.05)。结论抑郁症患者首次发病时选择综合医院就诊者比例高于精神专科医院;北京市、高学历、青年、中重度患者更倾向于选择至精神专科医院就诊。

Objective To explore the choice of different types of hospitals when seek medical treatment at the first time for depression patients in Beijing.Methods Patients with depression diagnosed in the outpatient clinics of 14 medical institutions in Beijing from February 2019 to August 2019 were recruited as research subjects.A self-made questionnaire was applied to investigate the choice of different types of hospitals when seek medical treatment at the first time for depression patients,and to analyze the reasons.Results A total of 4317 people participated in the survey,and 2770 people filled in the survey,and were included in the analysis.42.58%(1061/2492)of the patients chose general hospital for their first visits,with the main reason of convenience(238 person-times).32.10%(800/2492)of the patients chose psychiatric hospitals for their first visit.The main reason was that psychiatric hospitals or doctors were more professional(577 persontimes).Among the patients who chose a psychiatric hospital for their first visit,the proportions of patients with Beijing Medical Insurance(72.16%,425/589),under 45 years old(89.25%,714/800),with bachelor degree or above(84.63%,556/657),self-rating moderate(46.40%,316/681)and severe(16.89%,115/681)were all higher than those of patients choosing general hospitals.The differences were statistically significant(P<0.05).Conclusions The proportion of depressive patients who choose a general hospital for the first time is higher than psychiatric hospital.Beijing,high education,youth,moderate and severe patients are more inclined to choose to visit psychiatric hospitals.