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目的对中国上海某社区不同保障水平居民就医行为和影响因素的调查,了解居民的医疗需求,指导医院提供满足社区居民需要的医疗服务。方法采用自行编制的调查问卷,内容包含有居民性别、年龄、化程度、医疗保障等情况。由经过培训的医护人员,在社区居委的协助下进行发放、填写。调查对象为居住该社区半年以上的居民、具有行为意识能力、愿意接受调查者1200名(占社区居民人口的1%)。结果医保及有其他保障居民选择综合性医院的比例较高,无医保及其他居民认为等候时间太长而不选择综合性医院,合作医疗居民对费用、服务态度、交通因素占有较高比例。选择社区医院就医的原因中在医疗费用存在差异,医保居民认为没有药品不选择社区医院就医占有较高的比例。结论居民就医行为受医疗保障状况影响。
Objective To investigate the medical behaviors and influential factors of inhabitants of a certain community in Shanghai, China, understand the medical needs of residents and guide the hospitals to provide medical services that meet the needs of community residents. Methods Self-compiled questionnaire, including the residents of gender, age, degree of medical insurance and so on. By trained medical staff, with the help of community committees to issue, fill in. The respondents were residents who lived in the community for more than six months and had behavioral awareness and were willing to accept 1,200 survey respondents (accounting for 1% of the community population). As a result, there was a high proportion of health insurance and other insurance residents who chose general hospitals. No medical insurance and other residents thought that the waiting time was too long to choose a general hospital or cooperative medical residents, which accounted for a high proportion of expenses, service attitude and traffic factors. The reasons for choosing community hospitals for medical treatment are different among medical expenses. Medicare residents think there is a high proportion of those who do not choose community hospitals for medical treatment. Conclusion Residents’ medical treatment is affected by the status of medical insurance.