现代医院2025，Vol.25Issue(10)：1602-1606,1611,6.DOI:10.3969/j.issn.1671-332X.2025.10.030
基于潜类别分析的中老年慢病患者医疗选择偏好研究
Study on medical choice preferences of middle-aged and older chronic disease patients based on latent class analysis
摘要
Abstract
Objective To study the latent classification of medical service utilization behaviors among middle-aged and older chronic disease patients,providing a theoretical basis for the allocation of medical resources.Methods Using data from the 2018 China Health and Retirement Longitudinal Study(CHARLS)database,latent class analysis was employed to conduct subgroup analysis on the medical choice preferences of middle-aged and older chronic disease patients.Logistic regression was used to analyze the influence of various factors on medical preference subgroups.Results The medical choice preferences of middle-aged and older chronic disease patients were classified into three latent subgroups:public hospital treatment preference type,non-public hospital treatment preference type,and public hospital consultation preference type.Compared to the public hospital treatment preference type,patients under 60 years old(OR=0.456,P=0.034),those living in rural areas(OR=0.256,P=0.006),and those with smoking habits(OR=3.11,P＜0.001)were more inclined to choose non-public hospitals for treatment.In contrast,patients over 60 years old(OR=1.916,P=0.015),those with an education level of primary school or above(OR=2.595,P=0.004),and those with smoking habits(OR=2.591,P=0.044)tended to choose public hospitals for consultation or physical examinations.Conclusion Currently,private hospitals play an increasingly prominent role in chronic disease treatment.However,the utilization rate of traditional Chinese medicine among middle-aged and older chronic disease pa-tients is relatively low,and health awareness remains weak.It is recommended to strengthen the regulation of private hospitals,enhance the credibility and accessibility of traditional Chinese medicine,and intensify health education in communities to meet the growing health demands of middle-aged and older chronic disease patients.关键词
慢病/潜在类别分析/就医偏好/医疗资源Key words
Chronic diseases/Latent class analysis/Medical preference/Medical resources分类
预防医学引用本文复制引用
段郑玉,宫悦,闫娟娟,裴中阳,杨婕..基于潜类别分析的中老年慢病患者医疗选择偏好研究[J].现代医院,2025,25(10):1602-1606,1611,6.基金项目
国家自然科学基金(81872714) （81872714）
山西省基础研究计划青年项目(20210302124393) （20210302124393）
山西中医药大学博士科研启动基金(2023BK57) （2023BK57）
山西省卫生健康委员会中医药创新团队项目(zyytd2024025) （zyytd2024025）
山西省中医药管理局项目(2024ZYYAD007) （2024ZYYAD007）
