引用本文:郭静, 戴颖, 付淋淋, 杨洪玲, 刘凌琳.基于结构方程模型的流动老年人口就医行为影响因素研究[J].中国卫生政策研究,2019,12(2):35-40 |
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基于结构方程模型的流动老年人口就医行为影响因素研究 |
投稿时间:2018-04-13 修订日期:2018-11-23 PDF全文浏览 HTML全文浏览 |
郭静, 戴颖, 付淋淋, 杨洪玲, 刘凌琳 |
中国人民大学社会与人口学院 健康科学研究所 北京 100872 |
摘要:目的:分析流动老年人口就医行为影响因素并探究因素之间的关系。方法:以安德森卫生服务利用行为模型为理论框架,利用结构方程模型从流动老年人口就医倾向、就医资源和就医需要方面分析其对就医行为的影响。结果:纳入分析的流动老年人口共12 153人。利用"生小病时的处理方式"和"是否参加体检"对就医行为进行测量。结果显示,生小病时45.45%的流动老年人口选择看医生,一年内参加过体检的只占39.64%。结构方程模型拟合结果较好,RMSEA为0.032,CFI为0.975,TLI为0.951。就医资源对就医行为的直接效应为0.29,通过就医需要影响就医行为的间接效应为0.018。就医需要因素对就医行为的直接效应为0.091。结论:流动老年人口就医主动性较差,需开展适于流动老年人口的健康教育活动,提高健康意识,树立积极的就医行为;就医资源对流动老年人口就医行为的影响较大,需加快推进城乡医保整合进度,满足流动老年人口就医需求,提高其健康水平。 |
关键词:结构方程模型 流动老年人口 就医行为 影响因素 |
基金项目:中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)(18XNB009) |
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Structural equation model of the influencing factors of the medical behavior of floating elderly population |
GUO Jing, DAI Ying, FU Lin-Lin, YANG Hong-ling, LIU Ling-lin |
Institute of Health Sciences, School of Sociology and Population Study, Renmin University of China, Beijing 100872, China |
Abstract:Objective:To analyze the influencing factors of the medical behavior of floating elderly population and explore the relationship between those factors.Methods:Based on the Andersen's behavioral model of health services as the theoretical framework, the structural equation model is used to analyze the influencing factors of medical behavior by the aspects of floating elderly population's medical tendency, medical resources and medical needs.Results:The sample consists of 12153 subjects. This paper uses questionnaire consisting of the "treatment of minor illness" and "whether to participate in physical examination" to measure the medical behavior. The results show that 45.45% of the floating elderly population choose to see a doctor when they get minor illness, but only 39.64% of them have participated in physical examination within a year.The structural equation modelfits well, with RMESA=0.032, CFI=0.975, and TLI=0.951. The direct effect of "medical resources" on "medical behavior" is 0.29, and the indirect effect through the "medical needs" is 0.018. "Medical needs" have a direct effect of 0.091 on the "medical behavior". Conclusions:The initiative of floating elderly population in health seeking is poor, therefore the health education which is suitable for them is needed to improve their level of health awarenessand establish positive medical treatment behaviors. The medical resources have a great impact on the medical behavior of floating elderly population. Hence it is necessary to promote the implementation of the urban and rural medical insurance to meet the healthy needs of floating elderly population and improve their health. |
Key words:Structural equation model Floating elderly population Medical behavior Influencing factors |
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