基于计划行为理论的县域城郊区及偏远区农民就医行为影响因素异质性研究OA

Objective To explore the factors influencing farmers'health seeking behaviors in different lo-cations,to help farmers know about their real healthcare needs,and to offer strategic recommendations for an opti-mal distribution of local health resources.Methods Binary logistic regression analysis method was adopted to an-alyze 13 factors obtained from the field survey,covering subjective norms,attitudes towards medical selection,medical policies,hospital conditions,and disease characteristics.Results The factors that had a significant im-pact on health seeking behavior of farmers in suburban areas included personal health seeking experience(OR=5.787),medical expenses(OR=5.532),medical insurance reimbursement ratio(OR=18.080),professional technical level of medical staff(OR=12.661),and perception of common diseases(OR=0.024).In contrast,the factors that had a significant impact on health seeking behavior of farmers in remote areas included the distance between home and hospitals(OR=2.618),medical expenses(OR=2.398),and perception of serious diseases(OR=1.839).Conclusions There is significant difference in the importance of influencing factors for farmers'health-seeking behaviour in different locations,so it is necessary to propose strategies for optimizing grassroots health resources tailored to local conditions to meet farmers'health-seeking needs in different places.