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张文婕, 薛利, 陈饶,等.四川省城乡患者就医信息获取情况的对比分析.四川大学学报(医学版),2018,49(2):271-275
四川省城乡患者就医信息获取情况的对比分析
Medical Service Information Seeking Behaviors in Rural and Urban Patients in Sichuan Province
  
中文关键词:  就医信息渠道城乡患者分级诊疗
英文关键词:Medical service informationChannelsUrban and rural patientsTiered medical service system
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中文摘要:
      目的为引导城乡患者合理就医、促进分级医疗服务体系格局的建设提供四川省城乡患者获取就医信息的客观数据。方法在成都市、宜宾市、遂宁市的中心城区及下属县中随机抽取不同级别的医疗卫生机构,对抽中机构内的就医患者进行抽样问卷调查(获取就医信息的渠道及信任度、关注的就医信息内容、他人意见对就医选择的影响等),并进行分析比较。结果城乡患者就医信息的最主要获取渠道前三位分别均为熟人朋友、自身体验、电视,与最希望的获取渠道基本一致。城市患者对网络渠道的信任度及利用网络获取信息的比例(5.3%、10.6%)均高于农村患者(3.4%、5.5%),差异有统计学意义(P<0.05)。医务人员信息、医院口碑与花费水平均为城乡患者最关注的就医信息内容,农村患者对花费水平信息的关注度(26.7%)高于城市患者(20.3%),差异有统计学意义(P<0.05)。家人、亲戚朋友、医生护士的意见对城乡患者就医选择的影响位列前三,城乡患者对医生护士意见的信任度高于亲戚朋友,低于家人。结论城乡患者获取的就医信息内容及他人的意见直接影响其对就诊机构的选择,应有针对性地改进医疗机构的宣传内容与模式,引导患者合理分流就医。
英文摘要:
      Objective To understand how rural and urban patients seek medical service information in Sichuan province. Methods A self-designed questionnaire was distributed randomly to patients who visited primary, secondary and tertiary health facilities in Chengdu, Yibin and Suining, collecting data in relation to their sources of medical service information, as well as the contents and credibility of the information. ResultsThe major sources of medical service information came from friends, past experiences and television programs, which were consistent with the most desirable access channels. The urban patients were more likely to trust (5.3%) and use (10.6%) the Internet to obtain medical service information compared with their rural counterparts (3.4% and 5.5%, respectively, P<0.05). The most sought after information concerned about medical staff, reputation and price. The rural patients were more likely to be concerned about price (26.7%) than their urban counterparts (20.3%, P<0.05). The choices of patients were likely to be influenced by advices from family members, relatives and friends, and doctors and nurses. The patients had a higher level of trust in doctors and nurses than their relatives and friends, but lower than their family members. ConclusionPatient choices are shaped by their medical service information seeking behaviors and advices from others. Targeted marketing strategies for urban and rural patients should be developed to channel patients to appropriate health facilities.
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