某县糖尿病患者就医选择及其影响因素分析

发布时间：2019-01-11 10:21

【摘要】：目的:分析河南省息县农村糖尿病患者的就医选择及其影响因素。方法:采取随机整群抽样,以现场问卷形式进行调查。采用描述性分析、单因素分析和二分类logistic回归分析等统计学方法分析糖尿病患者就医选择及其影响因素。结果:58.2%的农村糖尿病患病患者倾向于基层医疗机构就诊。患病时间、自感健康状况、医药费用负担以及经济收入的糖尿病患者就医机构选择有统计学差异(均P0.05)。Logistic回归分析结果显示,患病时间、自感健康状况、医药费用负担及经济收入是息县糖尿病患者就医选择的影响因素。结论:息县糖尿病患者的就医选择较为理智,政府应当继续加强基层医疗卫生服务机构的医疗以及慢性健康管理服务能力,进一步改善慢性病患者的就医选择行为。
[Abstract]:Objective: to analyze the choice of medical treatment and its influencing factors for diabetic patients in rural areas of Xixian County, Henan Province. Methods: random cluster sampling was carried out in the form of field questionnaire. Descriptive analysis, univariate analysis and two-classification logistic regression analysis were used to analyze the choice of patients with diabetes and its influencing factors. Results: 58.2% of diabetes patients in rural areas tended to go to primary medical institutions. There were significant differences in the time of illness, the state of self-perceived health, the burden of medical expenses and the income of diabetes patients. (P0.05) the results of). Logistic regression analysis showed that the time of illness, the state of self-perceived health, The burden of medical expenses and economic income are the factors influencing the choice of diabetes patients in Xinjian County. Conclusion: the selection of diabetes patients in Xixian County is reasonable. The government should continue to strengthen the ability of medical treatment and chronic health management service in primary medical and health service institutions to further improve the behavior of patients with chronic diseases.
【作者单位】：南京医科大学医政学院;
【基金】：国家自然科学基金面上项目“基于综合激励模型的农村慢性病卫生服务纵向整合策略研究”(编号:71473130)
【分类号】：R587.1

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