Volume 1,Issue 7
Fall 2025
中老年“两病”患者基层医疗机构首诊意愿影响因素分析——对广东省中山市639位中老年“两病”患者的调查
基于安德森模型，研究中老年“两病”患者基层医疗机构首诊意愿及影响因素，为优化“两病”门诊政策提供参考。方法：采用便利抽样法在广东省中山市抽取639位中老年“两病”患者进行问卷调查，将改进后的安德森模型的各维度变量纳入统计分析，探讨中老年“两病”患者基层医疗机构首诊行为的影响因素。二元logistic回归显示，报销比例认知情况、支付限额认知情况、门诊慢性病种认知情况、药品费用满意程度以及治疗效果满意程度对中老年“两病”患者基层首诊意愿有显著影响。 结论：中山市中老年“两病”患者基层医疗机构首诊意愿较高。建议有关部门继续加强政策宣传，提高基层医疗机构服务质量，优化医保政策，促进分级诊疗政策的实施。
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