中国全科医学2016，Vol.19Issue(1)：106-109,4.DOI:10.3969/j.issn.1007-9572.2016.01.022
广州市儿童就医行为及其影响因素调查
Medical-care -Seeking Behavior Among Children in Guangzhou and the Influencing Factors
摘要
Abstract
Objective To investigate children′s medical-care-seeking behavior and explore the main influencing factors for children′s medical-care-seeking behavior , to guide children′s parents to conduct correct medical -care-seeking mode.Methods According to the administrative map of Guangzhou , we divided Guangzhou into three areas .Using pure random sampling method , we selected one district/county -level city from each area , and we at last selected Haizhu district , Baiyun district and Conghua district from the three different areas .In the three districts, we enrolled parents′of children as respondents by random encounter in the major gathering places for child ( in parks or at school gates ) .From April to June in 2014, a self-designed questionnaire for the status of children′s medical-care-seeking conduct in Guangzhou was adopted .The content of the questionnaire included children′s basic information , post processing mode after getting general diseases and its influencing factors, the medical setting chosen to seek medical care at the latest disease attack and its influencing factors .A total of 1 500 questionnaire were distributed , and 1 205 effective questionnaires were collected , with an effective recovery rate of 80.3%. Results For"general processing mode after finding diseases in children", there were 689 (57.2%) respondents who chose to observe first, 417 (34.6%) choose to seek for medical care immediately , 87 (7.2%) chose to purchase drugs from drugstore, and 12 (1.0%) chose to bring their children to visit doctors.The parents of children of different age ranges and with different time spent on the road from home to the nearest medical setting were significantly different in the choice of processing mode ( P<0.05 ) .In the latest disease attack in children , 424 ( 35.2%) firstly chose to seek for treatment in children hospital, 374 (31.0%) firstly chose primary hospital, 208 (17.3%) chose Grade A Class -three comprehensive hospital, 199 (16.5%) chose district-level maternal and child care service centre .The first choice of medical settings by parents varied with whether children had health insurance and the time spent on the road from home to the nearest medical setting (P<0.05) . The first five influencing factors for the medical setting chosen by children′s parents were short distance or convenient transportation from home ( 56.8%, 684 /1 205 ) , high medical care level ( 51.6%, 622/1 205 ) , good service attitude of medical workers (44.5%, 536/1 205), appropriate expense (33.0%, 398/1 205) and good medical facility (29.0%, 349/1 205) .Conclusion More than half of the parents whose children fall ill will observe first before seeking treatment , and the age of children and the time spent on the road from home to the nearest medical setting may be influencing factors for parents ′processing method of children falling ill; parents tend to choose children hospital for the first treatment , and the influencing factors for the first choice of medical setting may be whether children have medical insurance and the time spent on the road from home to medical setting; short distance or convenient transportation to home , and high medical level are significant factors for the choice of medical setting by parents to seek medical care for their children .关键词
儿童/就医行为/影响因素/广州市Key words
Children/Medical-care-seeking behavior/Influencing factors/Guangzhou city分类
医药卫生引用本文复制引用
黄绪琼,张丽,蔡帆,晁洁,王颖,张建华..广州市儿童就医行为及其影响因素调查[J].中国全科医学,2016,19(1):106-109,4.基金项目
广州市医药卫生科技项目(20131A031004) （20131A031004）
