摘要
目的:了解日常小病患者的就医选择及不同选择人群的社会经济特征。方法:数据来源于有全国代表性样本的"中国家庭追踪调查",采用描述性统计、卡方检验和方差分析探索中国城乡居民的就医选择和与之相关的人群特征。结果:60%以上城乡居民在面对日常小病时选择自己找药买药,30%选择立刻找医生看病。在立刻就医人群中,约80%选择社区医院或诊所。主观上认为没必要看病是日常小病患者不去医院的最主要原因,其次是医疗费用过高。城市居民选择立刻就医的比例低于农村居民,但城市居民比农村居民更倾向选择综合医院。结论:面对日常小病,中国居民已普遍形成自己找药买药的趋势;相对于综合医院,基层医疗机构已成为日常小病的服务主力。
Objective:To understand medical choice of patients with common health problems and the social and economic char-acteristics of groups with different choice.Methods:The data came from the 'China Family Panel Studies(CFPS)' with nationalrepresentative sample. Descriptive statistic, chi-squared test and variance analysis were applied to explore medical choice of Chineseurban and rural residents and the related group characteristics.Results:Above 60% urban and rural residents chose to seek and buymedicine while having common illness, 30% of the group chose to see the doctor at once. In the group of see the doctor at once, about80% people chose community hospitals and clinics. The major reason of patients with common diseases not going to hospitals was thatsuch action would not be medically necessary. The secondary reason was the over high medical costs. Rural residents were more like-ly to visit hospitals right away than urban residents while facing common health problems. Urban residents preferred to choose compre-hensive hospitals rather rural residents.Conclusion:A majority of Chinese residents chose to not go to hospitals right away when fac-ing common health problem. Community-based health centers became the major provider of clinical care.
出处
《中国卫生经济》
北大核心
2015年第3期53-55,共3页
Chinese Health Economics
关键词
就医行为
社区医院
日常小病
健康教育
中国家庭追综调查
health care behavior
community health center
common health problem
disease
China family panel studies
