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目的:探讨患者就医时对中西医选择偏好的影响因素,提出促进中医药发展的建议。方法:采取分层抽样法,以现场调查填写问卷和访谈形式对武汉市2013年10月至2014年10月有就医经历的研究对象、高校研究生、三级医疗机构工作人员、高校专家、医药卫生政策研究者进行调查。采用因子分析法建立层次结构模型,分析影响患者就医选择偏好的影响因素,采用层次分析法确定指标影响权重。结果:患者就医时对中西医选择偏好受中医特色、西医特色、政策因素、患者的认知、教育宣传5个因素影响,除中西医的内在属性外,影响最大的因素为政策因素和患者的认知;三级指标影响较大指标为:中医美容养生保健疗效独特、西医治疗常见病效果明显、中医作用缓和副作用小疗效好、政策的制定和有效实施、国人的重视力度、患者对中西医相关知识的了解程度等。结论:中医的发展是观念问题,要靠人们真正认识中医,要靠政府的大力支持。
Objective: To explore the influential factors of preferences of Chinese and Western medicine when patients seek medical treatment, and to put forward suggestions to promote the development of Chinese medicine. Methods: By stratified sampling method, questionnaires and forms of interviews were used to fill in questionnaires and interviews in Wuhan city from October 2013 to October 2014. The subjects of medical research, university graduate students, staffs of tertiary medical institutions, college experts, medical and health care Policy researchers investigate. Hierarchical model was established by factor analysis method to analyze the influential factors that affect the preferences of patients for medical treatment, and the analytic hierarchy process was used to determine the weight of the indicators. Results: The preference of Chinese and Western medicine was influenced by five factors of traditional Chinese medicine, western medicine characteristics, policy factors, patients ’cognition and education and publicity. The most influential factors were policy factors and patients’ Cognition; the three indicators have a greater impact on the indicators: the unique beauty of traditional Chinese medicine health care, western medicine treatment of common diseases effect is obvious, Chinese medicine to alleviate the side effects of small effective, policy formulation and effective implementation, people pay more attention to patients with Chinese and Western medicine Knowledge of the level of understanding. Conclusion: The development of Chinese medicine is a matter of concept. Relying on people’s genuine understanding of Chinese medicine, we must rely on the strong support of the government.