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[目的]了解四川农村居民两周患病就诊单位选择现状,探讨就诊单位选择的主要影响因素,为促进医疗体制改革、优化医院结构布局提供参考。[方法]利用四川省第四次国家卫生服务调查资料,描述农村居民两周患病情况、就诊单位选择情况,并与第三次卫生服务调查数据纵向比较;应用多项式Logistic回归对农村两周患病就诊单位选择的影响因素进行分析。[结果]农村居民两周患病就诊率有明显下降;多项式Logistic回归拟合结果显示:影响农村居民两周患病就诊单位选择的主要因素为医疗保障、家庭人均收入、年龄、就业状况、慢性疾病和自感健康状况。[结论]农村地区医疗体制改革重点应放在完善新型农村合作医疗和充分发挥私人诊所作用上。
[Objective] To understand the status quo of the selection of sick visiting units in rural areas of Sichuan Province in two weeks, and to explore the main influencing factors of the selection of visiting units, which will provide reference for promoting the reform of the medical system and optimizing the layout of hospital structures. [Methods] Based on the fourth national health service survey data of Sichuan Province, this paper describes the two-week prevalence of rural residents, the choice of treatment units and longitudinal comparison with the third survey of health services. Polynomial Logistic regression Analysis of the influencing factors of the selection of disease treatment units. [Results] The prevalence of sick visits in rural areas was significantly reduced in two weeks. The results of polynomial logistic regression showed that the main factors influencing the choice of rural residents for two weeks were health care, family income per capita, age, employment status, chronic Disease and self-perceived health status. [Conclusion] The medical system reform in rural areas should focus on improving new rural cooperative medical services and giving full play to private clinics.