摘要
目的:分析我国城镇居民互联网诊疗使用行为及其影响因素,为促进互联网诊疗发展提供参考。方法:结合2021年中国社会状况综合调查数据,以互联网诊疗使用行为为因变量,以人口学因素、社会参与、互联网使用经验和线下医疗服务可及性为自变量,运用logistic回归和基于CHAID算法的分类树模型,分析影响城镇居民互联网诊疗使用行为的因素。结果:我国城镇居民互联网诊疗的使用率仅为19.8%。回归模型结果显示,性别(OR=0.781)、年龄(OR=0.564)、受教育程度(OR=2.584)、家庭总支出(OR=1.169)、社会参与(OR=1.476)、互联网使用经验(OR=1.724)、就医需求(OR=1.771)显著影响城镇居民的互联网诊疗使用行为。CHAID分类树模型结果显示,40岁及以下、有社会参与、有互联网使用经验、有就医需求的居民互联网诊疗的使用率较高。结论:我国城镇居民互联网诊疗的使用率较低,人口学因素、社会参与情况、互联网使用经验和线下医疗服务可及性会影响其互联网诊疗使用行为。应针对不同人群需求和特点改进服务模式、利用社交网络平台扩大互联网诊疗的知晓度,促进居民使用互联网诊疗。
Objective:To analyze the current situation of Internet diagnosis and treatment among urban residents in China,explore the factors influencing residents'behavior towards using Internet diagnosis and treatment,and provide references for promoting Internet diagnosis and treatment services in China.Methods:Using data from the 2021 China social survey,with Internet diagnosis and treatment utilization behavior as the dependent variable and demographic factors,social participation,Internet usage experience,and access to offline health care as independent variables,logistic regression and decision tree model based on the CHAID algorithm were employed to analyze the factors.Results:The utilization rate of Internet diagnosis and treatment services among urban residents in China is only 19.8%.The logistic regression results show that gender(OR=0.781),age(OR=0.564),education level(OR=2.584),total household expenditure(OR=1.169),social participation(OR=1.476),Internet usage experience(OR=1.724),and medical demands(OR=1.771)significantly influence urban residents'behavior towards using Internet diagnosis and treatment.The CHAID decision tree model results reveal characteristics of 40 years old and below,engagement in social activities,Internet usage experience,and having medical demands among them show a higher utilization rate.Conclusion:The utilization rate of Internet diagnosis and treatment services among urban residents in China is low.Demographic factors,social participation,Internet usage experience,and access to offline health care influence urban residents'utilization of Internet diagnosis and treatment services.It is recommended to improve the service mode for different demands and features of people and enhance the recognition of Internet diagnosis and treatment through social network,thereby promoting the utilization rate.
作者
杨彦彬
马骋宇
刘昊鹏
张文恺
YANG Yanbin(School of Public Health,Capital Medical University,Beijing,100069,China)
出处
《医学与社会》
北大核心
2024年第8期9-16,共8页
Medicine and Society
基金
教育部人文社会科学研究基金资助项目,编号为22YJAZH082。
关键词
互联网诊疗
使用
影响因素
居民
Internet Diagnosis and Treatment
Use
Influencing Factor
Resident
