农村中老年人就医行为现状调查——以广东省茂名市新安镇为例
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摘要
目的以广东省茂名市新安镇为例,了解农村中老年人(≥40岁)就医行为及现状。方法针对基本情况、患病时疾病处理方式、医疗机构选择和就诊方式等方面对新安镇农村中老年人进行问卷调查和深度访谈。结果调研发现,农村中老年人就医意识较差,更倾向于私人诊所,就医方式主要以药物与门诊治疗为主。结论依据Andersen模型,农村中老年人的受教育程度、收入状况、地区经济文化环境和医疗可及性等对新安镇农村中老年人的就医行为产生了显著影响,应有针对性的提出政策建议。
OBJECTIVE To understand the current situation of medical treatment among middle-aged and elderly people(≥40 years old)in rural areas of Xin'an Town,Maoming City,Guangdong Province. METHODS Questionnaire survey and in-depth interviews were conducted among rural middle-aged and elderly people in Xin'an Town in terms of basic conditions,disease treatment methods at the time of illness,medical institution selection,and treatment methods. RESULTS It found that rural middle-aged and elderly people have a poor sense of medical treatment,preferring private clinics,and mainly relying on drugs and outpatient treatment. CONCLUSION According to the Andersen model,the education level,income status,regional economic,cultural environment and medical accessibility of rural middle-aged and elderly people have a significant impact on the medical treatment behavior.It needed to provide policy support.
OBJECTIVE To understand the current situation of medical treatment among middle-aged and elderly people(≥40 years old)in rural areas of Xin'an Town,Maoming City,Guangdong Province. METHODS Questionnaire survey and in-depth interviews were conducted among rural middle-aged and elderly people in Xin'an Town in terms of basic conditions,disease treatment methods at the time of illness,medical institution selection,and treatment methods. RESULTS It found that rural middle-aged and elderly people have a poor sense of medical treatment,preferring private clinics,and mainly relying on drugs and outpatient treatment. CONCLUSION According to the Andersen model,the education level,income status,regional economic,cultural environment and medical accessibility of rural middle-aged and elderly people have a significant impact on the medical treatment behavior.It needed to provide policy support.
引文
[1] ANDERSEN R. M. Behavioral model of families’use of health ser‐vices,research series No.25. Chicago:Center for Health Adminis‐tration Studies[M]. University of Chicago,1968.
[2] ANDERSEN R.M.chicago:Revisiting the Behavioral model and ac‐cess to medical care:does it matter[J]. Journal of health and social behavior,1995,36(1):1-10.
[3] FINKELSTEIN A,MCKNIGHT R. What did medicare do(and was it worth it)[M]. Wellesley:National Bureau of Economic Research,2005:1-38.
[4] BRINDIS C,KAPPHAHN C,MCCARTER V. The impact of health insurance status on adolescents’utilization of school-based clinic services:implications for health care reform[J]. Journal of adolescent health,1995,16(1):18-25.
[5] DAFNY L,GRUBER J. Public insurance and child hospitalizations:access and efficiency effects[J]. Journal of public economics,2005,89(1):109-129.
[6] M MUECKE. The access to healthcare service from perspectives of middle-aged working women in Southern Thailand Midwest Archives[J]. Conference meeting,2005,38(3):257-271.
[7]郑莉莉.医疗保险改变了居民的就医行为吗——来自我国CHNS的证据[J].财政研究,2017(2):84-97.
[8]任向英,王永茂.城镇化进程中新农合政策对农民就医行为的影响分析[J].财经科学,2015(3):121-123.
[9]胡思洋.农村老年人就医行为的影响因素研究——来自谷城、南阳两地数据的实证[J].人口与发展,2016(5):69-74.
[10]李湘君,王中华,林振平.新型农村合作医疗对农民就医行为及健康的影响——基于不同收入层次的分析[J].世界经济文汇,2012(3):58-71.
[2] ANDERSEN R.M.chicago:Revisiting the Behavioral model and ac‐cess to medical care:does it matter[J]. Journal of health and social behavior,1995,36(1):1-10.
[3] FINKELSTEIN A,MCKNIGHT R. What did medicare do(and was it worth it)[M]. Wellesley:National Bureau of Economic Research,2005:1-38.
[4] BRINDIS C,KAPPHAHN C,MCCARTER V. The impact of health insurance status on adolescents’utilization of school-based clinic services:implications for health care reform[J]. Journal of adolescent health,1995,16(1):18-25.
[5] DAFNY L,GRUBER J. Public insurance and child hospitalizations:access and efficiency effects[J]. Journal of public economics,2005,89(1):109-129.
[6] M MUECKE. The access to healthcare service from perspectives of middle-aged working women in Southern Thailand Midwest Archives[J]. Conference meeting,2005,38(3):257-271.
[7]郑莉莉.医疗保险改变了居民的就医行为吗——来自我国CHNS的证据[J].财政研究,2017(2):84-97.
[8]任向英,王永茂.城镇化进程中新农合政策对农民就医行为的影响分析[J].财经科学,2015(3):121-123.
[9]胡思洋.农村老年人就医行为的影响因素研究——来自谷城、南阳两地数据的实证[J].人口与发展,2016(5):69-74.
[10]李湘君,王中华,林振平.新型农村合作医疗对农民就医行为及健康的影响——基于不同收入层次的分析[J].世界经济文汇,2012(3):58-71.