癌症患者就医行为研究现状与思考

Research on the current status and reflections of health care seeking behavior among cancer patients

文章应用管理学的决策理论对癌症患者的就医行为进行系统性阐述,分析影响癌症患者就医行为的相关因素,从就医时机、医院选择、医疗决策、医患沟通和费用支付五个维度总结和归纳出癌症患者就医行为的主要特征。为提高临床决策的科学性,提出癌症患者及其家属应当具备的文化素养和基本要求。引导癌症患者科学就医,充分发挥卫生政策优势,提高医疗资源利用效能,对促进医患沟通、改善就医体验和提高癌症防治效果具有重要意义。

This paper applied the Decision theory of management to systematically expound and analyzed the relevant factors that affected the health care seeking behavior of cancer patients. The main characteristics of cancer patients’ health care seeking behavior were summarized from five dimensions: when to seek health care,where to seek health care,decision on medical treatment,communication between doctors and patients and payment for medical expenses. In order to improve the scientificity of clinical decision-making,this paper puts forward the cultural literacy and basic requirements that the cancer patients and their relatives should have. It is essential to guide cancer patients to seek health care scientifically,maximize the advantages of health policies and improve the efficiency of medical resource utilization to promote doctor-patient communication,medical experience and the effect of cancer prevention and treatment.