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目的对山东省农村居民患病时的就医流向进行描述,分析原因并提出相应建议。方法通过多阶段分层随机抽样选取研究对象,用自制问卷进行无记名调查。结果患小病时,88.6%选择村卫生室作为首诊机构,男女差异有统计学意义(P<0.05);患大病时,66.9%选择县医院为首诊机构,男女差异无统计学意义(P>0.05);报销政策相同时,66.6%选择去县医院;38.8%对县医院的整体感觉很放心。结论现阶段的农村三级医疗服务网络并不完善,乡镇卫生院未完全发挥应有的枢纽作用。
Objective To describe the flow of medical treatment during the illness of rural residents in Shandong Province, analyze the causes and put forward corresponding suggestions. Methods The subjects were selected by multi-stage stratified random sampling and a self-made questionnaire was used to conduct a secretarial investigation. Results When suffering from ailments, 88.6% chose village clinics as the first referral agency, the difference between men and women was statistically significant (P <0.05); 66.9% of the patients were selected as the first referral institution in the serious illness, there was no significant difference between men and women (P > 0.05). When reimbursement policy is the same, 66.6% choose to go to county hospital; 38.8% feel relieved about the overall feeling of county hospital. Conclusion The rural tertiary medical service network at this stage is not perfect, and township hospitals do not fully play their due role.