CAJ | 학술논문

目的：分析老年患者就医流向，为引导老年患者形成良好就医模式、提高医疗服务资源效率提供政策依据。方法利用 SPSS 20.0描述性统计和χ2检验、logistic 回归对数据进行分析。结果老年人患病首选社区卫生服务中心和三级医院就医的比例较高；首选三级医院就诊的老年患者中，近30%的患者就诊疾病类别为常见慢性疾病。医疗保障情况和文化程度为影响就医流向的主要因素。老年人对双向转诊服务接受比例较低。流程不方便、机制不健全是影响转诊服务的重要因素。结论由医疗供给管理向医疗需求管理转化，运用质量成本、费用成本、时间成本、舆论成本因素去影响、弱化医疗等级思维，树立“梯度就医”理念，提高医疗资源利用率，优化就医选择。
목적：분석노년환자취의류향，위인도노년환자형성량호취의모식、제고의료복무자원효솔제공정책의거。방법이용 SPSS 20.0묘술성통계화χ2검험、logistic 회귀대수거진행분석。결과노년인환병수선사구위생복무중심화삼급의원취의적비례교고；수선삼급의원취진적노년환자중，근30%적환자취진질병유별위상견만성질병。의료보장정황화문화정도위영향취의류향적주요인소。노년인대쌍향전진복무접수비례교저。류정불방편、궤제불건전시영향전진복무적중요인소。결론유의료공급관리향의료수구관리전화，운용질량성본、비용성본、시간성본、여론성본인소거영향、약화의료등급사유，수립“제도취의”이념，제고의료자원이용솔，우화취의선택。
Objective To analyze the flow tendency of elderly patients,create a better mechanism to help guide elderly patients to form a good order in seeking medical care,and consequently improve the resource operational efficiency in medical service.Methods Analyzing the data by the descriptive,χ2 test and logistic regression of SPSS 20.0.Results Elderly patients prefer community health service centers and tertiary hospitals;of those visiting tertiary hospitals,nearly 30% seek medical advice for common chronic diseases.Main influencing factors for patient flow are medical insurance coverage and education. They tend not to embrace the two-way referral service,due to such factors of inconvenient process and defective mechanisms.Conclusion Transition from medical demand management to medical supply management.Such factors as quality cost,expense cost,time cost,and public opinion cost should be used to replace and weaken their mindset of the medical hierarchy,and embrace the concept of “seeking medical advice by grades”,thus improving the utilization of medical resources,and optimizing medical service accesibility.