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目的了解成都市门诊患者就医选择及其影响因素。方法采取分层随机抽样方法,抽取在高等级医院和基层医疗机构就诊的门诊患者共300人,通过面对面访谈的形式进行问卷调查来收集资料。结果成都市门诊患者当前就医选择较为理性,62.8%在高等级医院就医的门诊患者有过基层医疗机构就诊经历,但仍存在改进空间,因其中只有30.1%的患者是在医生建议下转诊。此外,患者就医选择受到包括医疗机构的诊疗水平、就医便利度、就医价格等外部因素和患者的学历、经济收入、对疾病的了解程度以及疾病对其活动的影响等内部因素的综合作用。结论应进一步加强基层医疗机构的医疗质量,并通过宣传与引导树立民众科学的就医意识,以确保卫生资源的合理利用。
Objective To understand the medical treatment of outpatients in Chengdu and its influencing factors. Methods Taken stratified random sampling method, a total of 300 outpatients were enrolled in high-grade hospitals and primary-level medical institutions, and questionnaires were collected through face-to-face interviews to collect data. Results The current medical treatment of outpatients in Chengdu was rational. 62.8% of the outpatients admitted to high-grade hospitals had experience of primary medical care. However, there was still room for improvement because only 30.1% of them were referred by doctors. In addition, the patient’s choice of medical treatment is influenced by a combination of internal factors such as the level of medical care, the convenience of medical treatment, the external factors such as the medical price, the education level of the patient, economic income, the degree of understanding of the disease and the impact of the disease on its activities. Conclusions The medical quality of grass-roots medical institutions should be further strengthened and public awareness of medical care should be established through publicity and guidance so as to ensure the rational utilization of health resources.