基于安德森模型的非急症患者急诊就诊影响因素研究进展
Research Progress on Influencing Factors of Non-Emergency Patients’ Emergency Visits Based on Anderson Model
DOI: 10.12677/ns.2025.145103, PDF,    科研立项经费支持
作者: 尹 敏*：东南大学医学院，江苏 南京；东南大学附属中大医院江北院区，江苏 南京；徐翠荣#, 蔡 雪, 谢樱姿：东南大学附属中大医院，江苏 南京；益婷婷, 郑月月：东南大学医学院，江苏 南京；东南大学附属中大医院，江苏 南京；洪梦思：东南大学医学院，江苏 南京；江苏省肿瘤医院，江苏 南京
关键词: 非急症；安德森卫生服务利用模型；影响因素；医疗服务利用；Non-Urgent Patients； Anderson’s Behavioral Model； Influencing Factors； Healthcare Utilization
摘要: 近年来，非急症患者占用急诊资源的现象日益突出，这不仅加剧急诊科的拥挤情况，还导致医疗资源的不合理利用。本文基于安德森医疗服务利用行为模型，总结非急症患者选择急诊就诊的影响因素。模型从“倾向因素”(人口学特征、健康信念)、“使能因素”(经济能力、医疗资源可及性)及“需求因素”(自评健康状态、症状严重程度)三个维度，揭示患者决策的复杂性。研究发现，低健康素养、缺乏基层医疗渠道、对急诊服务认知偏差及症状主观焦虑是主要驱动因素。本文提出未来需通过普及急诊相关健康知识及分级诊疗政策、加强基层医疗建设，为急诊医疗资源的高效、合理利用提供理论依据。
Abstract: In recent years, the phenomenon of non-urgent patients utilizing emergency departments (EDs) has become increasingly prominent, exacerbating ED overcrowding and inefficient allocation of medical resources. Based on Anderson’s Behavioral Model of Health Services Utilization, this paper systematically reviews the factors influencing non-urgent patients’ choice of ED care. The model categorizes determinants into three dimensions: predisposing factors (demographics, health beliefs), enabling factors (economic capacity, healthcare accessibility), and need factors (self-assessed health status, symptom severity), revealing the complexity of patient decision-making. Key drivers include low education levels, lack of primary care access, misconceptions about ED services, and subjective anxiety over symptoms. This article proposes that the efficient allocation of emergency resources should be supported by popularizing health knowledge related to emergency care and implementing hierarchical diagnosis and treatment policies, as well as strengthening the construction of primary healthcare.
文章引用：尹敏, 徐翠荣, 蔡雪, 谢樱姿, 益婷婷, 郑月月, 洪梦思. 基于安德森模型的非急症患者急诊就诊影响因素研究进展[J]. 护理学, 2025, 14(5): 755-761. https://doi.org/10.12677/ns.2025.145103

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