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就医选择行为包含两个决策过程:一是患病是否就医,二是就医时如何选择医疗机构。本研究通过问卷调查法研究中老年患者就医选择行为的影响因素,结合描述性统计法对调查结果进行分析,并以居民类型、收入水平、是否参加医疗保险为自变量,以患病是否就医为因变量,借用logit模型实证各因素对中老年患者选择就医的影响。同时,采用深度采访法了解患者不就医的主要顾虑。研究发现,居民类型、收入水平和是否参加医疗保险对就医选择行为均有显著正向影响,但医疗保险的影响较为复杂,还与医疗保险报销限制有关;健康意识是影响我国农村中老年患者是否就医的首要因素;医疗质量和就医条件便利度是影响医疗机构选择的重要因素。
Choice of medical treatment behavior includes two decision-making process: First, whether the doctor for medical treatment, and second, how to choose medical treatment when medical treatment. In this study, the influential factors of medical choice behavior of middle-aged and elderly patients were studied by questionnaire survey, and the results of the survey were analyzed with descriptive statistics. The type of health insurance, income level, whether to participate in medical insurance as independent variable, Dependent variables, borrowing the logit model empirical various factors on the choice of medical treatment of elderly patients. At the same time, the depth of the interview to understand the main concerns of patients do not seek medical treatment. The study found that the type of residents, income level and whether or not to participate in medical insurance have a significant positive impact on the choice of medical treatment, but the impact of medical insurance is more complicated, but also with the medical insurance reimbursement restrictions; health awareness is affecting rural middle-aged patients in our country whether The primary factor for medical treatment; the quality of medical care and the convenience of medical conditions are important factors affecting the choice of medical institutions.