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目的通过纵向随访居民3个月的卫生服务利用行为,分析居民患病后就诊的影响因素。方法从四川省第五次卫生服务调查的样本区(县)中抽取1个城市点和1个农村点,入户调查居民人口学特征、病伤后就诊情况,采用重复测量资料两水平logistic模型分析就诊的影响因素。结果随访期间盐亭县1 129人次就诊高于青羊区478人次,影响就诊的主要因素有地区(P<0.05)、就业状况、是否患有慢性疾病、病伤知晓情况以及疾病严重程度。结论利用家庭医生或者村医对急/慢性患者的就医行为进行指导利用政策来干预个体就医行为。
Objective To analyze the influencing factors of residents after their illness by using the health service utilization behavior of residents who were followed up for 3 months. Methods One city point and one rural point were sampled from the sample area (county) of the fifth health service survey in Sichuan Province. The demographic characteristics and post-injury medical treatment were investigated by household surveys. The two-level logistic model Analysis of the impact of treatment. Results During the follow-up period, 1,129 visits in Yanting County were higher than 478 in Qingyang District. The main factors influencing the treatment were area (P <0.05), employment status, whether or not suffering from chronic diseases, awareness of disease and wounds, and severity of disease. Conclusions Use of family doctors or village doctors to guide the use of medical services to acute and chronic patients to guide the use of policies to intervene in individual medical behavior.