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目的:通过对浙江省台州市黄岩区中心城区的老年居民就医行为的调查分析,提出利于提高该区老年人健康的建议,为制定老年人医疗保健措施、卫生服务管理与决策等提供现实依据。方法:以浙江省台州市黄岩区60岁及以上普通老年人为调查对象,以马斯洛人类需求五层次理论为指导,结合问卷调查和深度访谈法,了解目前城镇老年居民的择医情况,找出影响老年人就医行为的因素。结果:老年居民就医行为的影响因素主要有自我诊断能力、受教育程度及社会医疗保障制度等(P<0.05)。结论:转变老年居民就医观念,提高健康意识,增强医疗机构卫生服务能力,合理配置医疗资源,提高医疗保障报销比例与覆盖率,建立统一的电子健康档案,开展社会性医学知识普及教育等都对缓解“看病难、看病贵”现象起着非常重要的作用。
OBJECTIVE: Through the investigation and analysis of the medical treatment of the elderly inhabitants in the downtown area of Huangyan District, Taizhou City, Zhejiang Province, some suggestions are put forward to improve the health of the elderly in this area and provide the realistic basis for formulating the health care measures and health service management for the elderly. Methods: Taking Huangyan District, Taizhou City, Zhejiang Province, 60 years old and above as the survey object, with Maslow’s five-level theory of human needs as a guide, combined with questionnaires and in-depth interviews, to understand the current situation of urban elderly residents to seek medical advice, find Factors that affect the medical treatment of the elderly. Results: The main influential factors of the elderly residents’ medical treatment were self-diagnosis ability, education level and social medical insurance system (P <0.05). CONCLUSIONS: Changing the sense of medical care for the elderly residents, raising awareness of health care, enhancing the health service capacity of medical institutions, rational allocation of medical resources, increasing the proportion and coverage of reimbursement for medical insurance, establishing a unified eHealth file, and popularizing education for social medical knowledge Relieve “difficult to see a doctor, expensive doctor ” phenomenon plays a very important role.