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目的了解四川省城市地区患者选择就医机构的原因,及患者对医疗机构的看法及评价,为合理引导患者流向提供参考依据。方法按分层抽样法在四川省抽取三个市,在每个市中心城区抽取不同级别类型的医疗机构,采用问卷调查法调查医疗机构内的患者。结果二级医院患者中自觉病情不严重的比例为47.2%,三级医院患者中为54.9%;患者选择三级医院的最主要原因是“技术高”(63.9%),选择二级医院最主要原因是“定点单位”(27.0%),选择社区卫生服务机构最主要原因是“距离近”(53.7%);到社区卫生服务机构就医的患者对等候时间、花费等方面的评价优于二、三级医院(P<0.05)。结论通过加强宣传和引导患者,提高社区卫生服务机构的医疗技术水平,同时完善双向转诊制度,让居民更多地利用社区卫生服务,将有利于实现就医流向进一步合理。
Objective To understand the reasons why patients choose medical institutions in urban areas of Sichuan Province and their opinions and evaluations on medical institutions so as to provide reference for reasonably guiding the flow of patients. Methods According to stratified sampling method, three cities were selected in Sichuan Province, and different levels of medical institutions were drawn in each downtown area. Questionnaires were used to investigate patients in the medical institutions. Results The proportion of secondary hospital patients with less serious symptoms was 47.2% and that of tertiary hospital patients was 54.9%. The main reason for choosing tertiary hospitals was “high technology” (63.9%), secondary hospital The main reason is the “fixed-point unit” (27.0%), the main reason for selecting community health service agencies is “close to ” (53.7%); to the community health services for patients seeking treatment waiting time, cost and so on The evaluation is superior to the second and third level hospitals (P <0.05). Conclusions By enhancing publicity and guidance of patients, improving the medical technology of CHS, and improving the two-way referral system, more use of community health services by residents will be conducive to further rationalization of medical treatment.