CAJ | 학술논문

目的：调查重庆市口腔门诊患者就医选择的影响因素，为口腔医疗机构的服务与改进提供参考依据。方法依据各医院门诊挂号人次比例进行分层随机抽样，对589例来自重庆市各级口腔医疗机构就诊的成年患者进行问卷调查并予以分析。结果被调查的589例患者中，62．71％的患者就医的主要原因是口腔疾病治疗，68．98％的患者选择口腔专科医院，就医满意度越高再次就诊意愿越强（ P＜0．01）；未婚和已婚、公务员和私营主及离退休人员相比，前者更倾向选择口腔专科医疗机构（P＜0．05）；平均月收入越高越倾向选择口腔专科医疗机构（P＜0．05）。结论影响重庆市口腔门诊患者就医选择因素较多、较复杂，各医疗机构仍有待进一步提高服务水平以满足患者需要。
목적：조사중경시구강문진환자취의선택적영향인소，위구강의료궤구적복무여개진제공삼고의거。방법의거각의원문진괘호인차비례진행분층수궤추양，대589례래자중경시각급구강의료궤구취진적성년환자진행문권조사병여이분석。결과피조사적589례환자중，62．71％적환자취의적주요원인시구강질병치료，68．98％적환자선택구강전과의원，취의만의도월고재차취진의원월강（ P＜0．01）；미혼화이혼、공무원화사영주급리퇴휴인원상비，전자경경향선택구강전과의료궤구（P＜0．05）；평균월수입월고월경향선택구강전과의료궤구（P＜0．05）。결론영향중경시구강문진환자취의선택인소교다、교복잡，각의료궤구잉유대진일보제고복무수평이만족환자수요。
Objective To investigate the factors affecting the outpatients choices for visiting hospital in Chongqing city to provide the reference basis for the service and improvement of oral medical institutions .Methods 589 adult outpatients from all levels of oral medical institutions were selected by adopting the stratified random sam‐pling according to the proportion of outpatient registration number and performed the questionnaire investigation and analysis .Results Among 589 investigated adult outpatients ,the main cause for visiting hospital in 62 .71% of outpa‐tients were the oral disease treatment ,and 68 .98% of outpatients chose the stomatological hospitals .The higher the satisfaction degree on visiting hospital ,the stronger the re‐visiting intention(P<0 .01) .Comparing the spinsterhood with married ,the civil servants with the private entrepreneurs and retired staffs ,the former were more likely to select the stomatological hospitals than the latter(P<0 .05) .The outpatients with higher income were preferential to select stomatological hospitals(P< 0 .05) .Conclusion The factors affecting the oral outpatient choice in Chongqing are more and complex .Various medical institutions remain to further improve the service level for satisfying the require‐ments of patients .