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目的:通过对合肥市农村老年慢性病患者现状的调查,了解农村老年慢性病患者的基本状况,找出影响慢性病患者就医行为的主要因素。方法:建立合理的问卷调查表,并运用多阶段随机抽样方法对抽取的样本乡镇进行入户调查,进而对调查数据进行主成分分析。结果:慢性病患者的年龄较集中在65岁到70岁之间,但教育水平普遍较低,并且农民是主要患者。影响农村老年慢性病患者的主要因素可归纳为服务质量感知、自身疾病关注度、医疗保险状况三个方面。结论:医疗服务质量需要不断提高,政府要加强在农村医疗卫生事业中的作用,改善农村医疗服务条件,加强慢性病的防治和宣传,完善农村医疗保障体系。
OBJECTIVE: To investigate the status quo of elderly patients with chronic diseases in rural areas of Hefei City, understand the basic conditions of elderly people with chronic diseases in rural areas and find out the main factors affecting the behavior of patients with chronic diseases. Methods: Establish a reasonable questionnaire, and use the multi-stage random sampling method to carry on the household survey to the sampled townships and towns, then carry on the principal component analysis to the survey data. Results: The age of the patients with chronic diseases concentrated in the 65 to 70 years old, but the educational level was generally lower, and the farmers were the main patients. The main factors influencing the elderly patients with chronic diseases in rural areas can be summarized as three aspects: perceived quality of service, the degree of concern about their own diseases and the status of medical insurance. Conclusion: The quality of medical services needs to be continuously improved. The government should strengthen its role in rural medical and health care, improve rural medical service conditions, strengthen the prevention and promotion of chronic diseases, and improve the rural medical security system.