Journal of Shandong University (Health Sciences) ›› 2017, Vol. 55 ›› Issue (12): 82-87.doi: 10.6040/j.issn.1671-7554.0.2017.270

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Residents’ choices of medical treatment institutions based on hierarchical diagnosis and treatment system in Xuzhou City

MIAO Chunxia1, LI Hanhan1, ZHUO Lang1, WANG Wenhai2, JIANG Jinxing1, ZHENG Juan1, HUANG Wenhao1, ZHAO Shihong1   

  1. 1. Research Centre of Health Policy and Health Management, Xuzhou Medical University, Xuzhou 221004, Jiangsu, China;
    2. Health Emergency Response Office, Xuzhou Health and Family Planning Commission, Xuzhou 221004, Jiangsu, China
  • Online:2017-12-20 Published:2022-09-27

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Abstract: Objective To investigate residents’ choice of medical treatment institutions and the influencing factors in Xuzhou City, and to provide scientific and feasible suggestions for the formation of good medical order and the improvement of medical treatment. Methods People who had no cognitive impairment and over 18 years old were selected by using stratified random sampling method in Xuzhou City. A total of 1 550 questionnaires were distributed and 1 473 were recovered. Results Among the 1 473 residents, 1 218(82.69%)fell ill, 930(76.35%)of whom chose medical treatment, 545(58.60%)of whom chose primary medical institutions and the other 385(41.40%)chose general hospitals. Binary Logistic analysis showed that the influencing factors of health care service choice consist of average family monthly income, medical expense, distance to medical institutions, whether knowing the hierarchical medical diagnosis and treatment system. Conclusion The percentage of choosing first treatment in the community is 58.60%. Residents preferred to primary medical institutions, who had lower average monthly income and lower medical costs, who was closer to primary medical institutions and was longer to the general hospitals, and who known the hierarchical medical diagnosis and treatment system.

Key words: Hierarchical diagnosis and treatment system, Choice of medical treatment, Medical treatment institutions, First treatment in the community, Influencing factors

CLC Number: 

  • R197
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