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目的对山东省农村居民就医时机的选择进行调查,分析其影响因素。方法多阶段分层随机抽样的方法选取研究对象,用自制问卷无记名调查,共调查2 276人。所得数据由专人整理,双人双录入Access2003数据库,运用SPSS16.0软件包进行统计处理。结果年龄、文化程度及经济收入是影响就医时机选择的主要因素,其中20~40岁农村居民就医时机主要是疼痛难忍时,约占90.3%;小学及以下、初中文化程度的农村居民分别有49.7%、38.3%是在疾病反复发作时就医。而是否参加新型农村合作医疗(新农合)对其就医选择影响则没有统计学意义(χ2=4.808,P>0.05)。结论需改善农村居民的医疗保健环境,提高其健康意识,进一步完善新农合制度,简化报销和审批手续。
Objective To investigate the choice of the timing of medical treatment for rural residents in Shandong Province and analyze the influencing factors. Methods A multi-stage stratified random sampling method was used to select the subjects. A total of 2 276 people were investigated using the self-made questionnaire. The data collected by hand, double double entry Access2003 database, using SPSS16.0 software package for statistical processing. Results The age, educational level and income were the main factors influencing the timing of medical treatment. Among them, 90.3% of rural residents aged from 20 to 40 were mainly intolerable when their medical time was unbearable. Among rural residents with primary education and below, junior high school education 49.7%, 38.3% were hospitalized for recurrent illness. Whether or not to participate in the new rural cooperative medical care (NCMS) has no significant effect on the choice of medical treatment (χ2 = 4.808, P> 0.05). Conclusion It is necessary to improve the health care environment of rural residents, raise their awareness of health, further improve the NCMS system and simplify the reimbursement and approval procedures.