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目的了解城市社区老年人就医时机及影响因素。方法于2014年10月,采用分层随机抽样方法,抽取山东省3个市≥60岁905例患病老年人进行问卷调查。结果在调查前1年内患病且发生就医行为的905例老年人中,立即就医者占83.4%,疼痛难忍时就医者占9.1%,一直拖着不就医者占7.5%;不同家庭人口规模、家庭年医疗支出、有无健康档案和到最近医疗机构时间的老年人就医时机比较,差异均有统计学意义(χ2=14.235、18.848、14.443、20.225,均P<0.05);有序多分类logistic回归分析结果显示,家庭年医疗支出(OR=0.401、0.531)、有无健康档案(OR=0.421)和到最近医疗机构的时间(OR=0.429、0.614)是城市社区老年人就医时机选择的影响因素(P<0.05)。结论城市社区老年人就医时机较为合理,家庭年医疗支出、有无健康档案和到最近医疗机构的时间对就医时机选择有影响。
Objective To understand the timing and influencing factors of elderly people in urban community. Methods In October 2014, a stratified random sampling method was used to survey 905 elderly people aged ≥60 years in three cities of Shandong Province. Results Of the 905 elderly people who became ill and had medical treatment within the first year before the survey, 83.4% of them were immediately admitted to the hospital, 9.1% were in pain, and 7.5% were non-medical practitioners. The population size of different households (Χ2 = 14.235, 18.848, 14.443, 20.225, all P <0.05); the orderly multi-classification (χ2 = 14.235,18.848,14.443,20.225, both P <0.05), the annual medical expenditure, the availability of health records and the timing of medical treatment to the elderly in the recent medical institutions, Logistic regression analysis showed that the annual health expenditure (OR = 0.401, 0.531), health records (OR = 0.421) and the recent medical institutions’ time (OR = 0.429, 0.614) were the timing choices for elderly people in urban communities Influencing factors (P <0.05). Conclusion Elderly people in urban communities are more likely to seek medical treatment. Annual medical expenditure, health records and the time to the nearest medical institution have an impact on the choice of timing of medical treatment.