居民的就医行为可以反映出国家的卫生资源配置和医疗政策效果,亦可作为卫生改革的重要依据。本文汇总了国内外关于居民就医行为的研究文献,全面梳理了就医行为研究的理论方法、研究对象及影响因素,找出现有研究存在的缺陷,以期给研究者提供有益的参考。 Residents’ health seeking behavior can reflect the allocation of national health resources and the effect of medical policies, and can also be used as an important basis for health reform. This paper summarizes the relevant literature related to health seeking behavior at home and abroad, summarizes the theoretical methods, research objects and influencing factors of health seeking behavior research, and finds the defects existing in the research, in order to provide useful reference for researchers.
就医行为,理论方法,影响因素,综述, Health Seeking Behavior
Theoretical Method
Influencing Factors
Review
摘要
Residents’ health seeking behavior can reflect the allocation of national health resources and the effect of medical policies, and can also be used as an important basis for health reform. This paper summarizes the relevant literature related to health seeking behavior at home and abroad, summarizes the theoretical methods, research objects and influencing factors of health seeking behavior research, and finds the defects existing in the research, in order to provide useful reference for researchers.
李德鑫. 居民就医行为影响因素研究综述Review of the Influencing Factors of Residents’ Health Seeking Behavior[J]. 现代管理, 2023, 13(05): 642-648. https://doi.org/10.12677/MM.2023.135083
参考文献References
李月娥, 卢珊. 安德森模型的理论构建及分析路径演变评析[J]. 中国卫生事业管理, 2017, 34(5): 324-327, 334.
Ahamed, F., Ghosh, T., Kaur, A., et al. (2021) Prevalence of Chronic Morbidities and Healthcare Seeking Behavior among Urban Community Dwelling Elderly Population Residing in Kalyani Municipality area of West Bengal, India. Journal of Family Medicine and Primary Care, 10, 4193-4199. https://doi.org/10.4103/jfmpc.jfmpc_893_21
Elizabeth, M. (2022) Investigation on the Medical Behavior of the Elderly and the Factors Influencing the Medical Behavior of the Elderly. Journal of Contemporary Medical Practice, 4.
于大川, 李雨晴. 大学生就医行为及其影响因素: 基于微观数据的实证分析[J]. 重庆工商大学学报(社会科学版), 2016, 33(2): 42-48.
李芬. 大学生就医行为与医疗保险[J]. 人口与发展, 2010, 16(1): 85-91.
杜珺, 王曼, 张方. 沈阳市大学生就诊行为的实证研究[J]. 中国卫生事业管理, 2010, 27(6): 394-396.
王平, 曹琦. 基于干预视角的大学生健康行为与影响因素分析[J]. 卫生经济研究, 2012(3): 30-33.
李植乐, 马超. 江苏省农民工参保城镇职工医保行为与就医行为研究[J]. 中国卫生统计, 2021, 38(5): 746-749.
胡志豪, 江艳军. 农村低保对低保户就医行为及健康的影响[J]. 江苏农业科学, 2022, 50(10): 235-242.
赵倩倩. 新冠疫情前后农村居民就医行为影响因素研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2021.
Wu, Y., Zhang, Q., Huang, Y., et al. (2022) Seeking Medical Services among Rural Empty-Nest Elderly in China: A Qualitative Study. BMC Geriatrics, 22, Article No. 202. https://doi.org/10.1186/s12877-022-02911-0
阚亚楠. 慢性阻塞性肺疾病患者就医行为现状及其影响因素分析[D]: [硕士学位论文]. 苏州: 苏州大学, 2020.
章琛越, 朱雪娇. 减少脑卒中患者延迟就医行为健康教育的研究进展[J]. 中华护理教育, 2021, 18(8): 759-764.
王烁烁, 郝习君, 李欣, 等. 心脑血管疾病对老年人生存质量和就医行为的影响[J]. 中国老年学杂志, 2022, 42(3): 719-721.
Prachi, D., Pragati, D., Amrin, D., et al. (2021) Assessment of Health Seeking Behavior of Gestational Diabetes in Pregnancy among Elderly Primi Mother. Journal of Pharmaceutical Research International, 33, 261-267.
Alhalaseh, L., Al-sawalha, K., AlSabbagh, M.Q., et al. (2022) Depression Rates and Health-Seeking Behavior in Primary Care: Andersen Model of Health-Care Utilization. Psychology, Health & Medicine, 1-10. https://doi.org/10.1080/13548506.2022.2093927
周金运. 青少年抑郁症患者社会支持、病耻感和就医行为关系的研究[D]: [硕士学位论文]. 昆明: 昆明医科大学, 2020.
Stalin, P., Alexander, T., Purty, A., et al. (2022) Health-Seeking Behavior for Acute Health Problems during COVID-19 Lockdown among the Residents of an Urban Area in Puducherry. Indian Journal of Community Medicine, 47, 299-301.
陈瑞雪. 北京市朝阳区居民中医就诊行为及影响因素研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2019.
潘匀, 赵加奎, 林军, 等. 上海市黄浦区居民就医行为及影响因素研究[J]. 健康教育与健康促进, 2022, 17(3): 239-244.
李前文, 季国忠. 癌症患者就医行为研究现状与思考[J]. 南京医科大学学报(社会科学版), 2022, 22(3): 242-247.
Gerald, M. (2015) Assessing Factors Influencing Health Seeking Behavior for Malaria Treatment in Children under Five Years in Rwimi Town Council Kabarole District. International Journal of School and Cognitive Psychology, 2, Article ID: 1000151.
王蕊琪, 周郁秋, 贾红红. 慢性病患者就医行为影响因素研究进展[J]. 护理学报, 2018, 25(3): 24-28.
Sun, X., Luo, S., Lou, L., et al. (2021) Health Seeking Behavior and Associated Factors among Individuals with Cough in Yiwu, China: A Population-Based Study. BMC Public Health, 21, Article No. 1157. https://doi.org/10.1186/s12889-021-11250-5
Elif, G. and Havva, Y.S. (2021) Factors Affecting Sexual Health-Seeking Behaviors of Young People. Journal of Public Health. (Prepublish).
张玉, 王燕, 张田田, 等. 分级诊疗制度下城镇居民就医意向调查及影响因素分析[J]. 现代医院管理, 2020, 18(6): 16-19.
Mishra, K., Mohapatra, I. and Kumar, A. (2019) A Study on the Health Seeking Behavior among Caregivers of Under-Five Children in an Urban Slum of Bhubaneswar, Odisha. Journal of Family Medicine and Primary Care, 8, 498-503. https://doi.org/10.4103/jfmpc.jfmpc_437_18
黎杰, 段如琢, 胡逍逸, 等. 居民就医行为主要影响因素的调查研究[J]. 医学与哲学(A), 2018, 39(9): 77-80.
石颖. 基于TPB理论和CSM模型的痔患者就医延迟影响因素的研究[D]: [硕士学位论文]. 长春: 吉林大学, 2018.
黄畅, 苗春霞, 侍书靖, 等. 我国空巢老人就医行为及其影响因素分析[J]. 现代预防医学, 2022, 49(2): 295-298, 323.
杨菊平. 健康信念模式健康教育对高血脂症健康管理的应用[J]. 黑龙江医药科学, 2021, 44(2): 187-189.
母亚林, 冯文鲜. 以健康信念模式为指导的健康教育在冠心病患者中的应用效果分析[J]. 现代医药卫生, 2020, 36(7): 1068-1070.
Menon, V., Sarkar, S. and Kumar, S. (2015) Barriers to Healthcare Seeking among Medical Students: A cross Sectional Study from South India. Postgraduate Medical Journal, 91, 477-482. https://doi.org/10.1136/postgradmedj-2015-133233
邢影影, 李勇. 江苏省居民门诊就医选择影响因素及对策研究[J]. 中国药物评价, 2019, 36(6): 411-415.
廖颖, 王庆志, 姚秀春, 等. 四川省农村居民就医行为及影响因素研究[J]. 现代预防医学, 2021, 48(20): 3739-3743.
Rao, S., Xue, H., Teuwen, D.E., et al. (2021) Measurements of Quality of Village-Level Care and Patients’ Healthcare-Seeking Behaviors in Rural China. BMC Public Health, 21, Article No. 1873. https://doi.org/10.1186/s12889-021-11946-8
田壮, 翟敏, 史立辉, 等. 济宁市任城区城乡居民就医行为差异性分析[J]. 中国社会医学杂志, 2020, 37(6): 599-602.
潘力. 新农合农民就医行为与认知影响因素的相关分析[J]. 经济研究导刊, 2018(5): 48-49.
李怡霏. 医疗保障对农民工就医行为的影响因素分析[J]. 现代国企研究, 2018(2): 196.
于海月. 农村居民的就医行为研究[D]: [硕士学位论文]. 沈阳: 沈阳师范大学, 2018.
Savitha, S. and Kiran, K. (2013) Health Seeking Behavior in Karnataka: Does Micro-Health Insurance Matter? Indian Journal of Community Medicine, 38, 217-222. https://doi.org/10.4103/0970-0218.120156
王睿. 我国大学生卫生服务利用与就医行为影响因素的研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2007.
李国飞. 武汉市大学生卫生服务需要和利用及影响因素研究[D]: [硕士学位论文]. 武汉: 华中科技大学, 2019.
Maritim, P., Silumbwe, A., Zulu, J.M., et al. (2021) Health Beliefs and Health Seeking Behavior towards Lymphatic Filariasis Morbidity Management and Disability Prevention Services in Luangwa District, Zambia: Commu-nity and Provider Perspectives. PLOS Neglected Tropical Diseases, 15, e9075. https://doi.org/10.1371/journal.pntd.0009075
Yang, C., Feng, Z. and Hao, W. (2019) Public Transportation Environment and Medical Choice for Chronic Disease: A Case Study of Gaoyou, China. International Journal of Envi-ronmental Research and Public Health, 16, Article 1612. https://doi.org/10.3390/ijerph16091612
Huang, M., Zhang, H., Gu, Y., et al. (2019) Outpatient Health-Seeking Behavior of Residents in Zhejiang and Qinghai Province, China. BMC Public Health, 19, Article No. 967. https://doi.org/10.1186/s12889-019-7305-0
Amiri, R., King, K.M., Heydari, A., et al. (2019) Health-Seeking Behavior of Afghan Women Immigrants: An Ethnographic Study. Journal of Transcultural Nursing, 30, 47-54. https://doi.org/10.1177/1043659618792613
李亚运, 张丹, 刘雪仪, 等. 健康社会决定因素视角下农村慢性病患者就医行为研究[J]. 医学与社会, 2015, 28(9): 38-41.