CAJ | 학술논문

目的：了解福州市社区居民就医行为、就医心理，分析影响居民就医行为的合理性因素，为引导居民合理就医提供参考建议。方法：运用随机抽样的方法，采用自行设计的调查问卷以及访谈问卷在福州市随机抽取9个社区，每个社区再随机抽出300例居民，共1800例居民进行调查；在1800例居民中抽取有代表性的200例居民进行访谈调查。结果：共发放问卷1800份，回收1780份，有效回收率98.9%，其中有效问卷1459份，问卷有效率81.1%；发放访谈问卷200份，回收率100%，有效率100%。调查结果发现，居民的年龄与就医去向差异有统计学意义(P＜0.05)；居民的学历与其就医去向差异有统计学意义(P＜0.05)。结论：加强基层社区医疗服务机构的建设，促使居民就医行为走向规范化、合理化。
목적：료해복주시사구거민취의행위、취의심리，분석영향거민취의행위적합이성인소，위인도거민합리취의제공삼고건의。방법：운용수궤추양적방법，채용자행설계적조사문권이급방담문권재복주시수궤추취9개사구，매개사구재수궤추출300례거민，공1800례거민진행조사；재1800례거민중추취유대표성적200례거민진행방담조사。결과：공발방문권1800빈，회수1780빈，유효회수솔98.9%，기중유효문권1459빈，문권유효솔81.1%；발방방담문권200빈，회수솔100%，유효솔100%。조사결과발현，거민적년령여취의거향차이유통계학의의(P＜0.05)；거민적학력여기취의거향차이유통계학의의(P＜0.05)。결론：가강기층사구의료복무궤구적건설，촉사거민취의행위주향규범화、합이화。
Objective:To understand the hospitalizing behavior and medical psychology of community residents in Fuzhou city,to analyze the influence factors of residents' medical behavior rationality,to provide suggestions to guide residents reasonable medical treatment.Methods:Using random sampling method,with the self-designed questionnaire and interview questionnaire,9 communities in Fuzhou city were randomly selected.In each community,300 residents were randomly selected.A total of 1800 residents were investigated.In 1 800 residents,200 typical residents were interviewed.Results:There were 1 800 questionnaires.1 780 copies were recycled,and the effective recovery rate was 98.9% .Among them,1 459 questionnaires were valid,and the efficiency of questionnaire was 81.1%.There were 200 interview questionnaires;the recovery rate was 100%;the effective rate was 100% .The survey found that,the difference between the age of residents and the prevalence with disease was statistically significant(P<0.05);the difference of education and medical care of the residents was statistically significant(P<0.05). Conclusion:Strengthening the construction of grass-roots community medical service institutions can promote the residents' medical behavior toward standardization and rationalization.