心理因素与门诊服务利用的关系

目的:探索心理因素与门诊服务利用的关系。方法:采用分层整群随机抽样方法抽取样本,利用自制调查问卷和Kessler10量表进行访谈式调查。结果:共调查威海市15岁及以上居民11652人。占威海市总人口的4.72‰。(1)居民两周患病检出率为10.4%(其中农村地区为10.9%,城市地区为7.7%),两周就诊率平均为4.8%(其中农村地区为5.0%,城市地区为4.1%);63.6%的患者就诊时选择基层医疗机构;(2)单因素和多因素分析结果显示,影响门诊服务利用的主要心理因素是K10分值,其高分组(30~50)的OR值=2.258(95%CI:1.265-4.032)。结论:心理健康状况差与两周就诊率高相关。

The Relation between Mental Factors and Outpatient Service Utility

Objective:To find out the relationship between mental factors and outpatient service utility. Method: Stratum-based random sampling method was used to select samples. The sample was interviewed with both self-made questionnaire and Kessler 10 rating scale.Results:The survey covered 11652 persons aged 15 and above. The incidence within two weeks was 10.38% (10.87% in rural areas and 7.73% in urban areas), the average rate of outpatient service seeking within two weeks was 4.83% (4.97% in rural areas and 4.11% in urban areas), 63.59% of the patients selected mainly the basic health service institution when they sought outpatient service; the primary mental factor affecting utility of outpatients was the mental state (K10 score), and the OR value of the high K10 group (scored 30-50) was 2.258 (95% CI: 1.265-4.032).Conclusions:Poor mental health is associated with higher utility of out-clinic service.