摘要
目的:分析老年人患病、就诊的变化趋势,探讨影响老年人就诊机构选择的因素。方法:采用单因素统计分析法对老年人患病情况、就诊情况及就诊机构的选择进行数量特征以及变化趋势的分析,并利用卡方检验比较其在不同时间以及不同人口学特征上是否呈现差异。同时采用无序多分类logistic回归模型,分别对城市与农村老年人的就诊机构选择进行影响因素分析。结果:2004年以后老年人患病率下降,就诊率上升;城市、女性、低学历老年人患病率较高;农村、低学历老年人就诊率较高;农村老年人更倾向选择基层医疗机构就诊,城市老年人更倾向选择医院就诊;婚姻状况、受教育程度、收入水平、慢性疾病数、疾病严重程度和年份对就诊机构选择产生影响。结论:开展健康教育,培养健康观念,加强健康管理,提高健康水平;加强社会医疗救助,提高就诊率;加强基层医疗机构建设,实现医疗资源的合理利用。
Objectives： To analyze the prevalence rate and the consultation rate of the elderly, and explore the factors af ect the choice of medical institutions. Methods： Descriptive statistics, chi-square test and multinomial logistic regression were used to describe the characters of prevalence rate, the consultation rate and the status quo of choice a medical institute, to compare the dif erences between visiting time and the demographics and to analyze the factors influencing choosing a medical institute of the elderly. Results： The prevalence rate has decreased and the consultation rate had increased since 2004. The prevalence rate of the urban, female, and low-educated elderly and the consultation rate of the rural and low-educated elderly were higher. The elderly in rural areas were more inclined to choose the primary health institutions, and the elderly in the city were more inclined to choose the hospital. Marital status, education levels, income, the number of chronic diseases and the disease severity and year showed statistically significant impact on the choice of medical institutions. Conclusions： Carrying out health education, strengthening social medical assistance and the construction of primary health institutions are considered to promote health resources rational utilization and improve health situation.
出处
《中国医院》
2015年第12期23-25,共3页
Chinese Hospitals
基金
国家社会科学基金一般项目(14BTJ008)
关键词
老年人
患病率
就诊率
就医机构选择
the elderly
prevalence rate
consultation rate
choice of medical institution
