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Study on the preference of patients for medical treatment based on the conjoint analysis and the enlightenment to the graded medical treatment |
ZHI Simin XU Huaifu |
International Medical College, China Pharmaceutical University, Jiangsu Province, Nanjing 211198, China |
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Abstract Objective To study the patients′ preferences, provide suggestions on guiding patients for medical treatment reasonably and perfecting graded medical treatment. Methods From February 13th to March 3rd, 2017, a questionnaire was designed by conjoint analysis, in order to conduct the questionnaire survey on 194 patients totally, who were from the First People′s Hospital of Zhengzhou, He′nan Provincial People′s Hospital and others total of 6 medical institutions. Conjoint analysis of data was conducted by SPSS 19.0. Results The results of conjoint analysis showed the patients were sensitive to the quality of care mostly, followed by the level of medical institutions. The patients got the highest utility value based on the analog combination, which included general hospital, just waiting for 30 min, good service quality, cost of 120 RMB and 85% reimbursement rate. Conclusion At present, patients have lower confidence in community health institutions. Patients need to improve blindness in medical treatment. Differentiated health care policy has little incentive for patients. As a result, it is suggested that graded medical treatment should be improved from the aspects of the community hospital development, health education and medical institutions, etc..
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[1] 国务院办公厅关于印发深化医药卫生体制改革2017年重点工作任务的通知[EB/OL]. http://www.gov.cn/zhengce/content/2017-05/05/content_5191213.htm. 2017/05/05.
[2] 蔡丛青.河北省唐山市城镇居民基本医疗保险未成年人支付意愿研究[D].武汉:华中科技大学,2012
[3] 关丽征,金岳,滕菲,等.联合分析法在社区卫生服务选择偏好中的应用[J].中国全科医学,2011,14(16):1758-1762.
[4] 尹世久,吴林海,徐迎军.信息认知、购买动因与效用评价:以广东消费者安全食品购买决策的调查为例[J].经济经纬,2014,31(3):102-107.
[5] 韩煜东,刘伟.联合分析法研究综述与展望[J].管理现代化,2011,31(6):29-31.
[6] 谭亦鹦.基于联合分析法的消费者偏好研究[D].天津:天津大学,2007.
[7] 袁亮,闫秀峰.联合分析在餐饮业消费行为中的应用研究——基于江苏居民的实证分析[J].中国市场,2016,23(35):99-101.
[8] 黄欢.社区居民就医行为研究[D].镇江:江苏大学,2010.
[9] 陶红兵,郭石林,张新平,等.城镇社区居民就诊不合理原因与对策分析[J].医学与社会,2007,20(6):16-17.
[10] 郑大喜.公立医院与基层医疗机构分工协作的难点及其突破[J].现代医院管理,2011,9(1):21-24.
[11] 李银才.医疗医保联动改革与分级诊疗机制:来自台湾地区的启示[J].卫生经济研究,2016,33(9):15-16.
[12] 佚名.分诊医疗关键要让医生“分流下沉”[J].协商论坛,2014,17(10):64.
[13] 职斯敏,徐怀伏.我国分级诊疗运行环境分析和对策研究——基于PEST模型[J].现代商贸工业,2017,30(6):137-139.
[14] 李银才.制度结构视角下的分级诊疗形成机制改革[J].现代经济探讨,2015,34(7):53-57.
[15] 朱恒鹏,林绮晴.改革人事薪酬制度 建立有效分级诊疗体系[J].中国财政,2015,60(8):69-71.
[16] 章炜颖,胡芳,俞亚光,等.基于“四诊四定”模式的分级诊疗实践探索[J].卫生经济研究,2016,33(9):41-44.
[17] 魏敏,肖锦铖,杨善发,等.2003-2013年农村居民就医行为相关影响因素文献计量分析[J].医学与社会,2014, 27(3):57-59.
[18] 朱小凤,李道丕,刘中华,等.分级诊疗制度下患者就医意向的影响因素研究[J].中国医院,2017,21(1):34-37.
[19] 李圣杰.广州市公立医院医疗纠纷危机管理案例研究[D].成都:电子科技大学,2013.
[20] 宋凯萍,曹军.改革医保支付制度,推进分级诊疗[J].中国医疗管理科学,2015,2(3):22-24. |
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