深圳市老年居民就医选择和影响因素分析

目的 了解深圳市老年居民就医选择情况及其影响因素. 方法采用分层随机抽样的方法,对全市4688例50岁以上老年居民在社区卫生机构和综合医院间就医选择进行横断面调查.结果 在社区卫生机构和在综合医院就诊的老年人,性别、职业和文化程度差异无统计学意义(均为P>0.05);但年龄(P<0.05)、医疗保险(P<0.05)、月收入(P<0.01)、症状程度(P<0.01)和居住地与医疗机构距离(P<0.01),差异均有统计学意义.多因素Logistic回归分析发现,年龄(OR=0.677)、医疗保险(OR=0.664)、月收入(OR=1.406)、症状程度(OR=1.600)和距离(OR=10.253)与居民对社区或综合医院选择相关. 结论老年居民选择社区卫生机构或综合医院与年龄、医疗保险、月收入、症状程度和距离因素有关.年龄越大、收入偏低、没有医保、症状较轻、距离较近的居民,更多选择社区卫生机构就医.

Health seeking behavior and its influencing factors of the senior citizens in Shenzhen

Objective To research the present situation of health seeking behavior and its influence factors of the senior citizens in Shenzhen city. Methods A total of 4688 subjects aged 50 years and over in Shenzhen were investigated using stratified random sampling. Results There were no significant differences in constituent ratios of gender, occupation and education background between community health service institute and general hospital (all P>0.05). But there were significant differences in constituent ratios of age (P<0.05), medical assurance (P<0.05), economical level (P<0.01), symptoms (P<0.01), the distance between residence and medical institutions (P 0.01). Logistic regression analysis showed that the choice of different types of hospital was correlated with age (OR=0.68), medical insurance (OR=0.66), economical level (OR=0.71), symptoms (OR=1.60) and distance (OR=10.25). Conclusions The choice of different types of hospital is correlated with age, medical insurance, economical level, symptoms and distance. The people of older, mild symptom, higher income, short distance, without medical insurance would choose community health services for their health care.