| 引用本文：王丽萍, 徐爱军, 蒋陆娟, 刘雨, 陈安琪.高血压患者健康自我评价对其就医决策的影响研究[J].中国卫生政策研究,2017,10(12):59-65 |
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| 高血压患者健康自我评价对其就医决策的影响研究 |
| 投稿时间：2017-07-11 修订日期：2017-11-10 PDF全文浏览 HTML全文浏览 |
| 王丽萍1, 徐爱军1, 蒋陆娟1, 刘雨2, 陈安琪3 |
1. 南京中医药大学卫生经济管理学院 江苏南京 210023;
2. 苏州市立医院 江苏苏州 215002;
3. 江苏卫生健康职业学院 江苏南京 211800 |
| 摘要:目的：探讨高血压患者健康自我评价情况及对其就医决策的影响，发现高血压患者进行就医决策时存在的问题，为提高其健康生命质量、改善科学就医决策提供参考。方法：利用2016年居民卫生服务利用动态监测调查数据，采用安德森卫生服务利用行为模型为理论基础，进行倾向特征、能力因素、需要因素的单因素分析，并构建logistic多因素回归模型，分析影响高血压患者就医决策的主要因素。结果：单因素分析显示，性别、年龄、城乡（倾向性因素）、人均家庭年收入、商业医疗保险（能力因素）、自我照顾能力、VAS健康评分（需要因素）对高血压患者就医决策有影响。多因素logistic回归分析表明，城乡、收入水平、自我照顾能力、VAS评分对高血压慢病患者就医决策产生重要影响。结论：高血压患者健康自我评价对其就医决策影响较大；能力因素是影响高血压患者就医决策的主要因素；不同人口学倾向特征的高血压患者具有不同就医倾向；需要因素促进高血压患者就医行为。建议政策制定者重视高血压患者的健康自我评价，关注高血压患者抑郁和焦虑问题，提高城乡高血压患者医疗服务利用公平性。 |
| 关键词:高血压患者 健康自我评价 就医决策 影响因素 |
| 基金项目:国家卫生计生委统计信息中心项目；江苏省社会科学基金项目（15GLB019） |
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| An analysis on the relationship between health self-evaluation and healthcare seeking decision for the patients with hypertension |
| WANG Li-ping1, XU Ai-jun1, JIANG Lu-juan1, LIU Yu2, CHEN An-qi3 |
1. School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing Jiangsu 210023, China;
2. Suzhou Municipal Hospital, Suzhou Jiangsu 215002, China;
3. Jiangsu Health Vocational College, Nanjing Jiangsu 211800, China |
| Abstract:Objective:To analyze the factors and problems of health self-evaluation on their healthcare seeking decision for hypertension patients, and to provide the relevant suggestions and strategies for improving their health quality of life. Methods:Data from the 2016 Residents Dynamic Monitoring Survey of Health Service Utilization, using the Anderson's Behavioral model as the theoretical basis, This study examined the predisposing, enabling, and need factors that determine the Single factor analysis, and construct the logistic regression model to analyze main factors affecting medical treatment decisions in patients with hypertension. Results:During multi-factor analysis about the factors chiefly selected were age,urban and rural, commercial medical insurance,annual income,VAS,self-care ability. Conclusion:Enabling factor is the main factor affecting medical decision-making in patients with hypertension; hypertension health self-evaluation on their medical decisions have important effect; hypertension patients with different demographic characteristics tendency to seek different medical treatments, and factors of need to promote the behavior of hypertension. It is suggested that policy makers should pay attention to the healthy self-evaluation of patients with hypertension, the problems of depression and anxiety in hypertensive patients, and to improve the utilization of medical services of patients with hypertension in urban and rural areas. |
| Key words:Hypertension patient Health self-evaluation Healthcare seeking decision Influencing factors |
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