沈阳市社区居民就诊意向研究

发布时间：2018-06-18 02:06

本文选题：社区 + 就诊意向　；参考：《沈阳师范大学》2017年硕士论文

【摘要】：文章对社区居民在就诊选择方面考虑的主要因素和行为倾向做了调查和探讨,对于医务人员、医疗过程及医疗设备及环境三部分和居民就诊意愿的关系,针对三种因素对就诊选择的具体关系得出分析结论,针对结论有层次的给出基层居民引流的建议。通过文献研究方法和问卷调查方法,对基层居民在就诊选择上进行研究;在样本的基本情况和相关政策认知情况方面,利用描述性统计方法进行统计和分析;将经过反复论证的分类问卷进行梳理,择适当的变量建立结构方程模型,对影响因素进行分析。经过分析得出结论,社区居民自身的基本情况对其选择就诊机构影响显著;基层相关机构自身造血能力的提升是指引社区居民就诊流向的根本;与医务人员和医疗过程相比,医疗设备及环境对社区居民就诊意愿影响更大。医疗设备与环境部分中,药品报销比例等相关制度如果完美落实,对就诊的社区居民在选择就医机构中能够选择社区就诊有着正面的影响。因此从三方面给出了对应的建议:一是从居民需求方面,加强在慢性病预防及治疗普及上做好知识普及,依据居民的具体情况,适当开放上门服务,方便本社区居民居家养老和慢性病照看;二是从社区建设方面,在完善首诊制和双向转诊制的实施和普及的前提下,提升机构长期的技术水平和医疗设备;三是从政府帮扶方面,在实施零差药品的前提下,保证药品的类别覆盖全面和细化,继续完善基本医疗制度在社区医疗方面的报销倾斜,真正实现引流作用。
[Abstract]:This paper investigates and discusses the main factors and behavioral tendencies considered by community residents in the selection of medical treatment, and discusses the relationship between the three parts of medical staff, medical process, medical equipment and environment, and residents' willingness to seek medical treatment. According to the analysis of the relationship between the three factors and the selection of medical treatment, the conclusions are analyzed, and the suggestions of drainage for grass-roots residents are given in the light of the conclusions. Through the methods of literature research and questionnaire survey, this paper makes a study on the selection of medical treatment for grass-roots residents, and makes use of descriptive statistical methods to carry out statistics and analysis on the basic situation of samples and related policy cognition. The structure equation model is established by sorting out the classification questionnaire which has been proved repeatedly, and the influencing factors are analyzed. After analysis, it is concluded that the basic situation of community residents has a significant impact on their choice of medical institutions; the improvement of hematopoietic ability of grass-roots related institutions is the basis to guide the flow of community residents' visits; compared with medical personnel and medical process, Medical equipment and environment have greater influence on community residents' willingness to seek medical treatment. In the part of medical equipment and environment, if the related system such as the proportion of drug reimbursement is implemented perfectly, it has a positive effect on the community residents who can choose the community visit in the medical institution. Therefore, the corresponding suggestions are given from three aspects: first, in terms of the needs of the residents, we should strengthen the popularization of knowledge on the prevention and treatment of chronic diseases, and properly open the door service according to the specific conditions of the residents. The second is to improve the long-term technical level and medical equipment of the institution under the premise of perfecting the implementation and popularization of the first consultation system and the two-way referral system, which is convenient for the residents in this community to live in their homes and care for chronic diseases, and second, to improve the implementation and popularization of the first consultation system and the two-way referral system in the community. Third, from the government support, under the premise of the implementation of homodyne drugs, to ensure the comprehensive and detailed coverage of the drug category, continue to improve the basic medical system in community medical reimbursement tilt, truly achieve the role of drainage.
【学位授予单位】：沈阳师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R195

【参考文献】