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中国初级卫生保健:2020,34(11):25-29
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个人特征视角下贫困患者医疗目的地选择行为和影响因素研究
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中文摘要: 摘要 目的 基于个人特征的视角探讨贫困患者医疗目的地选择行为结果及影响机制,为准确且有效地长期实施健康扶贫干预措施提供参考。方法 运用多元logistic回归模型研究贫困患者医疗目的地选择行为和个人特征影响因素,为健康扶贫政策提供政策建议。结果 贫困患者具有就近就医倾向,分别有66.1%和26.1%的患者选择县内及市内县外就医;除性别外,疾病类型、年龄和民族等因素均对医疗目的地选择行为具有显著影响。此外,患者县外就医选择具有“有限理性”特征,既优先选择高级别医院、也会将医疗目的地更多局限在省域范围内。建议 一是优化服务管理,引导贫困患者合理理性就医行为;二是强化政策协同,构建贫困患者减负多重保障屏障;三是创新服务模式,探索“互联网医疗+保险”联动机制;四是加强区域规划,完善贫困地区医疗卫生服务体系。
Abstract:Abstract Objective Based on the perspective of personal characteristics, it discusses the results and influence mechanism of selection behavior of medical destination of poor patients, providing references for accurate and effective long-term implementation of health intervention and assistance. Methods Multiple logistic regression model is used to study the influencing factors of medical destination choice behavior and personal characteristics of poor patients, so as to provide policy suggestions for Health Poverty Alleviation Policies. Results The results show that poor patients have a tendency to seek medical treatment in near places, with 66.1% and 26.1% of patients choosing medical treatment in and outside the county. In addition to gender, disease type, age, nationality and other factors have a significant impact on medical destination choice behavior. In addition, patients’ choice of medical treatment outside the county has the characteristics of “limited rationality”, which not only gives priority to high-level hospitals, but also limits the medical destination to the province. Suggestions First, it needs to optimize service management and guide poor patients to seek medical treatment reasonably and rationally; Second, it is suggested to strengthen policy coordination and build multiple guarantee barriers for poverty alleviation; Third, innovate service mode is proposed to explore the linkage mechanism of “internet medical + insurance”; Fourth, it needs to strengthen regional planning and improve medical and health service system in poor areas.
文章编号:3202006020     中图分类号:R197    文献标志码:
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