摘要
目的以浙江省玉环市为例,分析居民选择就医地点的影响因素,为全面提高国内各县级地区的县域内就诊率提供参考借鉴。方法采取整群抽样的方法,进行入户调查,对所抽取的家庭进行医疗服务利用与服务满意度调查。结果玉环市居民日常市内就诊率为91.42%,最近一次市内基层就诊率为74.20%。距离近和价格低是引导居民在市内就诊的重要因素,而优质的医疗服务质量是吸引居民前往市外就医的重要因素。居民对基层医疗机构的满意度高于县级医院,其中就诊感受为主要影响因素。结论医保政策对居民的就医流向作用有限,县级医疗机构仍需不断改善自身医疗服务质量和患者服务体验,以提高县域内就诊率。
OBJECTIVE To analyze the factors affecting the hospitalizing intention of residents in Yuhuan and to provide references forthe improvement of medical utilization at county level. MRTHODS Using cluster sampling to select subjects and collect the informa-tion of their utilization and satisfaction of medical institutions. RESULTS 91.42% of respondents used the medical services in Yuhuanand 74.20% of respondents chose to visit a primary health care institution. Distance and low prices were the important risks for resi-dents using medical service in Yuhuan while high quality led them to other regions for medical treatment. Compared with hospitals,residents were more satisfied with the primary health care institutions. Medical experience was the mean factor affecting residents' satisfaction. CONCLUSION Medical insurances have limited influence in hospitalizing intention. County-level medical institutions shouldcontinuously improving their quality of medical services and patient experience to influence residents' hospitalizing intention.
出处
《中国初级卫生保健》
2018年第5期1-3,6,共4页
Chinese Primary Health Care
基金
国家自然科学基金资助项目(71303057)
关键词
就医流向
居民满意度
影响因素
hospitalizing intention
resident satisfaction
factor
