江苏省城乡慢病患者中医药卫生服务需求偏好差异研究

Differences in demand preferences of traditional Chinese medicine services among urban and rural patients with chronic diseases in Jiangsu Province

目的了解慢性病患者中医药卫生服务需求偏好及支付意愿,分析城乡差异及影响因素。方法利用离散选择实验方法设计问卷,在江苏省北部、中部、南部3个地区随机抽取12个县市区321名慢病患者进行问卷调查,构建混合Logit模型进行数据分析。结果城乡慢病患者均倾向于选择在中医院就诊、采用内外结合治法、治疗效果更好的中医药卫生服务,且农村慢病患者更倾向于选择治疗费用低的中医药卫生服务。结论城乡慢病患者中医药卫生服务需求偏好存在差异,农村慢病患者较于城镇患者对治疗费用因素更加敏感。建议在政策扶持下缩小城乡经济差距,优化中医药卫生服务资源配置,促进中医药医疗保障与城乡发展相适应。

Objective To explore the demand preference and willingness to pay for Traditional Chinese Med⁃icine(TCM)services among patients with chronic diseases,and to analyze the urban⁃rural differences and influ⁃encing factors.Methods A questionnaire was designed by using the discrete choice experiment method.A total of 321 patients with chronic diseases were randomly selected from 12 counties in northern,central and southern Jian⁃gsu Province for a questionnaire survey,and a Mixed Logit model was constructed for data analysis.Results Both urban and rural patients with chronic diseases tended to seek TCM services provided in TCM hospitals,which a⁃dopted internal plus external therapy,and had better therapeutic effects.Rural chronic disease patients were more inclined to choose TCM services with low therapeutic costs.Conclusions There are differences in demand prefer⁃ences of TCM services between urban and rural patients with chronic diseases,and rural patients take more consid⁃eration of therapeutic costs than urban patients.It is recommended to narrow the economic gap between urban and rural areas with policy support,optimize the resource allocation of TCM services,and promote the adaptation of TCM medical support to urban⁃rural development.