首页|基于计划行为理论的县域城郊区及偏远区农民就医行为影响因素异质性研究

基于计划行为理论的县域城郊区及偏远区农民就医行为影响因素异质性研究

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原文链接
  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 挖掘不同区位农民就医行为的影响因素,帮助了解农民就医的真实需求,从而为不同区位基层医疗卫生资源的优化配置提供策略建议.方法 运用二元Logistic回归分析方法对实地调研获取的数据从就医主观规范、就医选择态度、就医政策、医院条件、疾病特征5个方面共13个因素进行分析.结果 对城郊区农民就医行为具有显著影响的因素有个人就医经验(OR=5.787)、就医所需费用(OR=5.532)、医保报销比例(OR=18.080)、医护人员专业技术水平(OR=12.661)、普通病感知(OR=0.024);对偏远区农民就医行为具有显著影响的因素有个体到医院的距离(OR=2.618)、就医所需费用(OR=2.398)、严重疾病感知(OR=1.839).结论 不同区位农民就医行为的影响因素重要程度存在差异,需因地制宜地提出基层医疗卫生资源优化策略建议,以满足不同区位农民的就医需求.
Heterogeneity of the influencing factors for farmers'health seeking behavior in suburban and remote areas of counties
Objective To explore the factors influencing farmers'health seeking behaviors in different lo-cations,to help farmers know about their real healthcare needs,and to offer strategic recommendations for an opti-mal distribution of local health resources.Methods Binary logistic regression analysis method was adopted to an-alyze 13 factors obtained from the field survey,covering subjective norms,attitudes towards medical selection,medical policies,hospital conditions,and disease characteristics.Results The factors that had a significant im-pact on health seeking behavior of farmers in suburban areas included personal health seeking experience(OR=5.787),medical expenses(OR=5.532),medical insurance reimbursement ratio(OR=18.080),professional technical level of medical staff(OR=12.661),and perception of common diseases(OR=0.024).In contrast,the factors that had a significant impact on health seeking behavior of farmers in remote areas included the distance between home and hospitals(OR=2.618),medical expenses(OR=2.398),and perception of serious diseases(OR=1.839).Conclusions There is significant difference in the importance of influencing factors for farmers'health-seeking behaviour in different locations,so it is necessary to propose strategies for optimizing grassroots health resources tailored to local conditions to meet farmers'health-seeking needs in different places.

Grassroots health resourcesFarmerHealth seeking behaviorInfluencing factorLocation differentiationMultiple linear regression

刘晓君、刘盼

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西安建筑科技大学管理学院,陕西西安 710055

基层医疗卫生资源 农民 就医行为 影响因素 区位分异 多元线性回归

"十三五"国家重点研发计划课题陕西省哲学社会科学重大理论与现实问题重点智库研究项目

2018YFD11002022021ZD1013

2024

10.19955/j.cnki.1005-5916.2024.04.007

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子：0.744
ISSN：1005-5916
年,卷(期)：2024.44(4)
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