本文已被：浏览 3949次 下载 0次
中文摘要: 目的 了解我国中老年患病人群自我医疗现状及其影响因素，为促进中老年人医疗服务利用提供建议。方法 基于2015年中国健康与养老追踪调查数据，对中老年人群患病后行为的影响因素进行单因素分析及logistic回归分析。结果 慢性病人群更倾向于自我医疗(42.06%)，一个月内新患病人群更倾向于就医(63.24%)；在自我医疗与不处理的选择上，慢性病患者（OR=0.36，P<0.001）倾向于不处理,在自我医疗与就医的选择上，慢性病(OR=4.13, P<0.001)、居住城市者(OR=1.23，P=0.001)倾向于自我医疗。结论 慢性病、男性、高龄和农村地区的中老年患病群体治疗率仍有待提高，慢性病、城市地区居民自我医疗率应降低。应采取增加农村卫生资源投入、健康教育等方式改善城乡基层卫生服务公平性，降低自我医疗的发生率。
Abstract:OBJECTIVE To measure the condition of self-treatment and medical service utilization, so as to provide suggestions for promoting the utilization of medical services. METHODS Data came from 2015 China Health and Retirement Longitudinal Study(CHARLS). Single factor analysis and logistic regression analysis were used to measure the influencing factors of behavior of the elderly with chronic diseases. RESULTS The elderly with chronic diseases were more inclined to self-treatment(42.06%), while the others were more likely to seek treatment within 1 month(63.24%). Patients with chronic diseases(or=0.36, P<0.001) tended not to deal with it between self-care and non-treatment. In the choice of self-care and medical treatment, those with chronic diseases (OR=4.13, P<0.001), living in cities (OR=1.23, P=0.001) tended to self-care. CONCLUSION The treatment rate still needed to be improved when it comes to senile disease group in chronic disease, male and senior as well as rural area. The rate of chronic diseases and self-care in urban areas should be reduced. It needed to improve the equity of primary health service in urban and rural areas and reduce the incidence of self-care by increasing rural health resources investment and health education.
keywords: the middle-aged and elderly self-treatment health-seeking behavior utilization of medical service
文章编号：3201906014 中图分类号：R195. 文献标志码：
基金项目:
| 作者 | 单位 |
| 张旭东①，郑镇明①，宫 晓①# |
| Author Name | Affiliation |
引用文本：