福州市社区居民合理就医引导策略研究

The guidance strategy research of reasonable medical treatment of community residents in Fuzhou city

目的:了解福州市社区居民就医行为、就医心理,分析影响居民就医行为的合理性因素,为引导居民合理就医提供参考建议。方法:运用随机抽样的方法,采用自行设计的调查问卷以及访谈问卷在福州市随机抽取9个社区,每个社区再随机抽出300例居民,共1 800例居民进行调查;在1 800例居民中抽取有代表性的200例居民进行访谈调查。结果:共发放问卷1 800份,回收1 780份,有效回收率98.9%,其中有效问卷1 459份,问卷有效率81.1%;发放访谈问卷200份,回收率100%,有效率100%。调查结果发现,居民的年龄与就医去向差异有统计学意义(P<0.05);居民的学历与其就医去向差异有统计学意义(P<0.05)。结论:加强基层社区医疗服务机构的建设,促使居民就医行为走向规范化、合理化。

Objective:To understand the hospitalizing behavior and medical psychology of community residents in Fuzhou city,to analyze the influence factors of residents' medical behavior rationality,to provide suggestions to guide residents reasonable medical treatment.Methods:Using random sampling method,with the self-designed questionnaire and interview questionnaire,9communities in Fuzhou city were randomly selected.In each community,300 residents were randomly selected.A total of 1800 residents were investigated.In 1 800 residents,200 typical residents were interviewed.Results:There were 1 800 questionnaires.1780 copies were recycled,and the effective recovery rate was 98.9%.Among them,1 459 questionnaires were valid,and the efficiency of questionnaire was 81.1%.There were 200 interview questionnaires;the recovery rate was 100%;the effective rate was100%.The survey found that,the difference between the age of residents and the prevalence with disease was statistically significant(P<0.05);the difference of education and medical care of the residents was statistically significant(P<0.05).Conclusion:Strengthening the construction of grass-roots community medical service institutions can promote the residents' medical behavior toward standardization and rationalization.