对中国老年人首选医疗机构的影响因素分析
Xianyu Xie1, Zijun Zhao2, Qinde Wu3
1Department of Medical Administration, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Patient preference and adherence
|October 11, 2023
概括
福建省中老年人和老年人经常选择县或市医院作为他们的第一个医疗选择,受邻近和收入等因素的影响. 改善初级保健服务是改善医疗保健获取的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 层次的诊断和治疗系统对于高效的医疗保健服务至关重要,特别是对于老龄化人口.
- 了解患者对初级医疗保健的偏好对于优化医疗保健资源配置至关重要.
研究的目的:
- 分析影响福建省中老年人选择首选医疗机构的因素.
- 为这个人口群体制定有效的等级诊断和治疗策略提供信息.
主要方法:
- 使用单因子分析,无序多分类逻辑回归和多重对应分类.
- 从486个有效的问卷收集数据,基于卫生服务整合理论和安德森的行为模型.
主要成果:
- 关键影响因素包括年龄,教育,居住面积,收入,接近医疗机构,以及对综合卫生服务的理解.
- 中年和老年人表示他们更喜欢县和市医院作为他们最初的护理点.
- 治疗中心的近距离对第一个医疗机构的选择产生了重大影响.
结论:
- 提高初级医疗机构的服务能力对于高质量的等级护理至关重要.
- 建议包括增加家庭医生培训和合同覆盖范围,优化初级保健设施的分布,改善员工条件.
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