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深圳市代谢综合征患者就医行为及影响因素的质性研究

蔡飞跃 陈庆奇 李维嘉 靳学莲 李哲 吴疆 黄志威

中国全科医学2016,Vol.19Issue(25):3069-3073,5.
中国全科医学2016,Vol.19Issue(25):3069-3073,5.DOI:10.3969/j.issn.1007-9572.2016.25.014

深圳市代谢综合征患者就医行为及影响因素的质性研究

Qualitative Research of Health Seeking Behavior and Influence Factors of Patients with Metabolic Syndrome in Shenzhen

蔡飞跃 1陈庆奇 1李维嘉 1靳学莲 1李哲 1吴疆 1黄志威1

作者信息

  • 1. 518000 广东省深圳市,香港大学深圳医院家庭医学科
  • 折叠

摘要

Abstract

Objective To understand health seeking behavior of patients with metabolic syndrome(MS)in Shenzhen and to investigate its influencing factors. Methods 49 MS patients from General Outpatient/ Special Outpatient of the University of Hong Kong - Shenzhen Hospital and Health Service Centers of Futian Community,Xili Community and Bihaiyuntian Community were interviewed by purposive sampling method from August to September in 2O14. Focus group interviews method was used to collect data,Colaizzi seven - step data analysis of qualitative study was applied to analyze data. According to ecological theory,the influencing factors of patients′ health seeking behavior were summarized into micro factors,medial factors,outer factors and macro factors. Results The health seeking behavior of MS patients is a dynamic and changing process. Most of the patients had repeated doctor visiting experiences in many medical institutions;patients not only selected medical institutions,but also doctors when seeing a doctor. The influencing factors of MS patients′ health seeking behavior included the following 4 aspects:(1)micro factors(health attitude,personal preference);(2)medial factor(interpersonal relationship,network and media);(3)outer factors(medical technology,humanistic care);(4)macro factors(medical insurance). Conclusion There is no uniform standard in health seeking behavior of MS patients in Shenzhen,and the influencing factors of their behaviors are complex and diverse. It is recommended to lead patients to seek reasonable medical advice with clear targets.

关键词

代谢综合征 X/就医行为/影响因素分析/定性研究

Key words

Metabolic syndrome X/Health seeking behavior/Root cause analysis/Qualitative research

分类

医药卫生

引用本文复制引用

蔡飞跃,陈庆奇,李维嘉,靳学莲,李哲,吴疆,黄志威..深圳市代谢综合征患者就医行为及影响因素的质性研究[J].中国全科医学,2016,19(25):3069-3073,5.

基金项目

深圳市科技计划项目 ()

中国全科医学

OA北大核心CSTPCD

1007-9572

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