分级诊疗背景下阆中市农村居民就医首诊地点选择调查研究

Investigation and Research on the Choice of the First Medical Consultation Site for Rural Residents in Langzhong City under the Back-ground of Hierarchical Diagnosis and Treat-ment

摘要: 目的：通过调查了解分级诊疗背景下阆中市农村居民患病后的就医首诊选择，为促进居民合理就诊和完善分级诊疗制度提供建议。方法：查阅文献后自行设计调查问卷，在被调查的城市简单随机抽样到不同级别社区、街道和其他公共场所采用自填问卷结合访谈的方法开展调查。结果：199名研究对象求医的首诊地点基本为县级以上医院占57.28%，文化程度是重要的影响因素，其中知晓分级诊疗制度的人较少，仅占22.10%，并且有155人是通过本调查问卷才知晓分级诊疗制度，占比高达77.80%。结论：文化程度是影响阆中市农村居民就医首诊地点选择的主要影响因素。

Abstract: Objective: To investigate the choice of the first medical consultation for rural residents in Lang-zhong City after illness under the background of hierarchical diagnosis and treatment, and to provide suggestions for promoting residents to seek medical treatment reasonably and improving the hierarchical diagnosis and treatment system. Methods: After reviewing the literature, a questionnaire was designed by itself, and the surveyed cities were simply randomly sampled to different levels of communities, and the streets and other public places were surveyed by self-filling ques-tionnaires combined with interviews. Results: The first places of 199 subjects seeking medical treatment were basically hospitals above the county level, accounting for 57.28%. Education level was an important influencing factor. Among them, fewer people knew about the graded diagnosis and treatment system, accounting for 22.10%, and 155 people knew about the graded diagnosis and treatment system through this questionnaire, accounting for 77.80%. Conclusion: Education level is the main influencing factor affecting the choice of the first medical treatment location of ru-ral residents in Langzhong City.