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[四川省城乡患者的医疗服务信息寻求行为]

[Medical Service Information Seeking Behaviors in Rural and Urban Patients in Sichuan Province].

作者信息

Zhang Wen-Jie, Xue Li, Chen Rao, Duan Zhan-Qi, Liu Dan-Ping

机构信息

Department of Health Related Social and Behavioral Science,West China School of Public Health,Sichuan University,Chengdu 610041,China.

Health and Family Planning Information Center of Sichuan Province,Chengdu 610041,China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2018 Mar;49(2):271-275.

Abstract

OBJECTIVE

To understand how rural and urban patients seek medical service information in Sichuan province.

METHODS

A self-designed questionnaire was distributed randomly to patients who visited primary,secondary and tertiary health facilities in Chengdu,Yibin and Suining,collecting data in relation to their sources of medical service information,as well as the contents and credibility of the information.

RESULTS

The major sources of medical service information came from friends,past experiences and television programs,which were consistent with the most desirable access channels. The urban patients were more likely to trust (5.3%) and use (10.6%) the Internet to obtain medical service information compared with their rural counterparts (3.4% and 5.5%,respectively,<0.05). The most sought after information concerned about medical staff,reputation and price. The rural patients were more likely to be concerned about price (26.7%) than their urban counterparts (20.3%,<0.05). The choices of patients were likely to be influenced by advices from family members,relatives and friends,and doctors and nurses. The patients had a higher level of trust in doctors and nurses than their relatives and friends,but lower than their family members.

CONCLUSION

Patient choices are shaped by their medical service information seeking behaviors and advices from others. Targeted marketing strategies for urban and rural patients should be developed to channel patients to appropriate health facilities.

摘要

目的

了解四川省城乡患者获取医疗服务信息的方式。

方法

自行设计问卷,随机发放给在成都、宜宾和遂宁的基层、二级和三级医疗机构就诊的患者,收集有关其医疗服务信息来源以及信息内容和可信度的数据。

结果

医疗服务信息的主要来源是朋友、既往经历和电视节目,这与最理想的获取渠道一致。与农村患者相比,城市患者更有可能信任(5.3%)并使用(10.6%)互联网获取医疗服务信息(农村患者分别为3.4%和5.5%,P<0.05)。最受关注的信息涉及医务人员、声誉和价格。农村患者比城市患者更关注价格(26.7%对20.3%,P<0.05)。患者的选择可能会受到家人、亲戚和朋友以及医生和护士建议的影响。患者对医生和护士的信任程度高于亲戚和朋友,但低于家人。

结论

患者的选择受其医疗服务信息寻求行为和他人建议的影响。应针对城乡患者制定有针对性的营销策略,引导患者前往合适的医疗机构。

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