我国居民就医机构选择行为的区域差异性分析OA
Analysis of Regional Differences in the Choice of Medical Institutions among Chinese Residents
目的 分析不同区域居民就医机构选择及其影响因素,为政府进一步推进分级诊疗提供参考.方法 在计算医疗资源配置水平指数的基础上,实证分析居民就医机构选择的影响因素,并检验不同区域居民就医选择影响因素的差异.结果 教育水平、医疗资源配置、健康信念、健康状况等均显著影响居民就医机构选择;健康状况较好和基层医疗资源充足地区的居民更倾向于选择基层医疗机构;不同区域居民在年龄、医疗条件满意度、慢性病状况及医疗资源对就医选择影响方面存在显著差异.结论 不同区域居民的就医选择影响因素存在明显差异,应根据区域特征制定相应政策,强化基层医疗服务能力建设,引导居民合理就医.
Objective To examine regional differences in residents'choice of medical institutions and the factors influencing these choices,providing reference for the government to further promote hierarchical medical care.Methods Based on the calculation of the medical resource distribution level index,empirical analyses were conducted to determine factors influencing residents'medical institution preferences,and to examine the differences in these influencing factors among residents in different regions.Results Educational attainment,medical resource distribution,health beliefs,and health status all significantly influenced residents'choice of medical institutions.Residents in better health or living in areas with abundant primary healthcare resources were more likely to choose primary healthcare institutions.Significant regional differences were observed in factors such as age,satisfaction with local healthcare facilities,chronic disease status,and levels of medical resources.Conclusion Factors influencing residents'choice of medical institutions vary significantly across regions.Regional-specific strategies should thus be developed to enhance primary healthcare capacities and guide residents toward appropriate healthcare utilization.
朱洪婧;蔡旺春
中国药科大学国际医药商学院,南京 211100中国药科大学国际医药商学院,南京 211100
医药卫生
就医机构选择影响因素区域差异
Choice of medical institutionInfluencing factorsRegional differences
《中国药物经济学》 2026 (2)
22-27,6
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