居民就医行为偏好及其影响因素研究OACHSSCD

This study analyzes residents'healthcare-seeking behavior preferences and their influencing factors,and interprets residents'tendency to maintain existing healthcare choices from the perspective of status quo bias theory,to provide references for optimizing the healthcare-seeking structure and advancing the implementation of the hierarchical diagnosis and treatment policy.A questionnaire survey was conducted among residents in Hefei City,Anhui Province,from November to December 2025 using multi-stage stratified sampling.Results indicate that the mean score of status quo bias was 3.12±0.69.Factors including gender,per capita monthly household income,chronic disease status,annual frequency of healthcare visits,self-perceived severity of illness,regular healthcare institution,and healthcare-seeking inertia significantly influenced status quo bias(P<0.05),with healthcare inertia having the strongest impact(β=0.301).Females,low-income individuals,those with chronic diseases,more frequent annual healthcare visits,self-perceived severe illness,and those seeking care at large hospitals exhibited a stronger tendency to continue using their existing healthcare institutions.These findings suggest that residents'healthcare-seeking behavior preferences exhibit a certain degree of stability,and that status quo bias theory provides a behavioral economics perspective on residents'tendency to maintain existing healthcare choices.Differentiated strategies should be adopted for different population groups,including reducing institutional switching costs,strengthening continuity of care and dual-referral coordination,and improving the accessibility and reliability of primary healthcare services,so as to encourage residents who tend to seek care at higher-level hospitals toward primary care institutions.