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目的调查泉州市城乡居民就医行为现状及影响因素,为泉州医改提供一定的科学依据。方法采用分层多阶段随机抽样方法抽取泉州市7个县(市、区)城乡居民作为调查对象,选用问卷调查,共调查2 209名。结果泉州市城乡居民94.9%都有一种及以上的医疗保险。身体不适时自行购药有44.8%,户籍、居住地、医疗保险、离家最近的医疗机构、半年内有量血压、1年内有测血糖,均对就医行为影响具有统计学意义(P<0.05)。结论加强对城乡居民就医行为的指导和培训,形成正确就医理念,建立起全国互联互通的医疗保障体系,降低门诊医疗费用,方便居民及时就近就医。
Objective To investigate the current situation and influential factors of medical treatment in urban and rural areas in Quanzhou and to provide some scientific evidences for medical reform in Quanzhou. Methods The stratified and multi-stage random sampling method was used to select the urban and rural residents in 7 counties (cities and districts) of Quanzhou as the survey subjects and 2 209 were selected by questionnaire survey. Results 94.9% of urban and rural residents in Quanzhou had one or more kinds of medical insurance. 44.8% of the patients purchased their own medicine when they were not feeling well, and had medical records of residence, medical insurance, nearest medical institution, blood pressure within half a year and blood glucose within one year, all of which had statistical significance (P <0.05 ). Conclusion Strengthen the guidance and training of urban and rural residents for medical treatment, form the correct concept of medical treatment, establish a national medical insurance system with interconnection and connectivity, reduce outpatient medical expenses and facilitate residents to seek medical treatment in time.