CAJ | 학술논문

目的：了解昆明医科大学大一新生入学前就医行为及影响因素，找出存在的主要就医问题，为大学生就医保障提供建议和依据．方法采取整群抽样的方法对昆明医科大学2011级本科新生学号末尾为单数的1044人过去1 a的就医行为进行问卷调查，调查时间为新生入学3个月内．统计方法有描述性统计、多因素logistic回归分析．结果学生就诊原因主要为急性疾病（29.4%）和以感冒发烧为主的常见病（34.9%），大部分学生病情较轻到医疗机构就医后只需服药即可治疗；家庭所在地为农村的学生就医人数相对较少，家庭收入较低的学生寻求医疗服务的人数相对较多，自感健康状况较差的学生就医人数多．结论家庭所在地、家庭收入、自感健康状况是影响就医行为发生的重要因素．现行的大学生医疗保障制度有待进一步完善，同时高校应采取相应的措施为大学生的正确就医提供保障．
목적：료해곤명의과대학대일신생입학전취의행위급영향인소，조출존재적주요취의문제，위대학생취의보장제공건의화의거．방법채취정군추양적방법대곤명의과대학2011급본과신생학호말미위단수적1044인과거1 a적취의행위진행문권조사，조사시간위신생입학3개월내．통계방법유묘술성통계、다인소logistic회귀분석．결과학생취진원인주요위급성질병（29.4%）화이감모발소위주적상견병（34.9%），대부분학생병정교경도의료궤구취의후지수복약즉가치료；가정소재지위농촌적학생취의인수상대교소，가정수입교저적학생심구의료복무적인수상대교다，자감건강상황교차적학생취의인수다．결론가정소재지、가정수입、자감건강상황시영향취의행위발생적중요인소．현행적대학생의료보장제도유대진일보완선，동시고교응채취상응적조시위대학생적정학취의제공보장．
Objective To understand health seeking behaviors and influencing factors among freshmen before enrollment in Kunming Medical University in Yunnan Province and to find out the existing medical problems and provide advice to guarantee undergraduates' seeking proper treatment. Methods We used cluster sampling method to select 1044 freshmen whose last digit of student number was singular and questionnaire was used to do the survey which was conducted within 3 months of admission. Statistical methods were descriptive statistics and multivariate logistic regression analysis. Results The main reasons for students to see the doctor were acute diseases (29.4%) and common disease dominated by cold and fever (34.9%), most of the students went to the medical institutions because of mild medication which can be treated by taking pills. Family location for rural areas had small number of students to see the doctors, the number of students seek medical services with low income families were larger than the high counterparts;students had poor perceived health status tended to seek medical services. Conclusions Family location, incomes and perceived health status are important factors influencing health seeking behavior. The current medical insurance system for college students could be further improved, and colleges and universities should take appropriate measures to provide the conditions for students to seek proper treatment.