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老年患者就医流向及影响因素调查研究
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摘要:
??????? 目的 分析老年患者就医流向的原因与因素,为合理引导老年患者适宜就医、提高医疗有效利用率、缓解医疗供需矛盾提出参考建议。方法 利用SPSS20.0描述性统计和X2检验对数据进行分析。结果 老年患者在生病时首选三级医院就医的比例最高,其次为社区卫生服务中心,二级医院比例最低。就医流向的影响因素有:年龄、医疗保障情况、文化程度、家庭平均月收入。结论 应通过加强宣教、合理引导,强化社区医疗机构服务能力建设,畅通双向转诊/转查渠道,积极推进二级医院的转型发展,来吸引老年就医群,优化老年人群就医流向,提高医疗资源的有效使用效率。
关键词:  老年患者  就医流向  影响因素
DOI:
基金项目:
Research on Hospitalizing Intention and Influence Factors of Elderly Patients
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Abstract:
??????? Objective To analyze the cause of hospitalizing intention and influence factors of elderly patients, to guide the elderly patients hospitalized for reasonable, and to improve the medical utilization, suggested for the contradiction between supply and demand. Methods Analyzing the data by the descriptive and X2-test of SPSS20.0. Results The old people in sick first level 3 hospital ratio is the highest, followed by the community health service center, and the lowest share the second class hospitals. The influence factors are age, health care, education, family average monthly income. Conclusion Through strengthening publicity, education, and reasonable guide, community medical agency service ability construction should be strengthened, two-way referral/turn check channel be open, the transformation of the second class hospitals be actively promoted, elderly medical group optimize the hospitalizing intention be attracted, and the medical resources use efficiency be improved.
Key words:  

elderly patient, hospitalizing intention, influence factor

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