摘要
目的:了解山东省农村癌症患者首诊机构选择,分析首诊机构选择的影响因素,为农村癌症分级诊疗提供参考依据。方法:采用多阶段分层随机抽样,对山东省3个县(市) 2015~2016年确诊的456例癌症患者进行调查。结果:本研究获得有效问卷452份。癌症患者首诊机构选择率由高到低依次为县级医院(60.8%)、市级及以上医院(18.2%)、乡镇卫生院(17.5%)、村卫生室(3.5%)。"距离近"、"口碑好,服务质量好"是癌症患者首诊医疗机构选择的主要原因。多项无序Logistic回归结果表明,不同地区、婚姻状况、文化程度、外出打工、癌症症状知晓情况和就诊机构决定权是山东省农村癌症患者首诊机构选择的主要影响因素。结论:应加强对农村居民的肿瘤防治知识的宣传力度;建立适合农村癌症患者的专科特色分级诊疗模式。
Objective To understand rural cancer patients’ choice of their first-visit medical institutions and the influencing factors,so as to provide evidence for the diagnosis and treatment of cancer patients in rural areas in China. Methods A multistage stratified random sampling was used to investigate cancer patients diagnosed in 2015 ~ 2016 in three counties of Shandong province. Results 452 valid questionnaires were collected. The first-visit medical institutions included county hospitals(60. 8%),municipal and above hospitals(18. 2%),township-level clinics(17. 5%),and village clinics(3. 5%),respectively. The distance and the quality of health services were the main reasons to choose medical institutions. Factors affecting patient’s choice are district,marital status,education level,migrant worker status,knowledge of early sign or symptom of cancer,family participation in decision-making. Conclusion Targeted health education should be carried out to promote patients to seek cancer care;government should establish oncology medical alliance for rural areas.
作者
苏明珠
张楠
王家林
赵德利
刘卫东
邹跃威
孙晓杰
SU Ming-zhu(School of Medicine and Health Care Management, Shandong University, Jinan, P. R. China)
出处
《中国卫生事业管理》
北大核心
2019年第7期527-530,共4页
Chinese Health Service Management
基金
美国中华医学基金会资助项目“肿瘤筛查、发病与治疗模式的差异研究”(13-160)
关键词
农村
癌症患者
首诊医疗机构
影响因素
rural resident
cancer
first-visit medical institutions
influencing factor
