《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2023, Vol. 29 ›› Issue (12): 1481-1488.doi: 10.3969/j.issn.1006-9771.2023.12.013
• Original article • Previous Articles
LI Jingyu1,2, LÜ Yun3, XIN Yu1, LI Shuo1,4, PENG Sijing1,2, MI Zhongxiang5()
Received:
2023-11-15
Revised:
2023-11-27
Published:
2023-12-25
Online:
2023-12-28
Contact:
MI Zhongxiang, E-mail: CLC Number:
LI Jingyu, LÜ Yun, XIN Yu, LI Shuo, PENG Sijing, MI Zhongxiang. Downward referral willingness of rehabilitation patients in an urban medical group and its influencing factors[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1481-1488.
"
项目 | n | 构成比/% | |
---|---|---|---|
性别 | 男 | 175 | 55.7 |
女 | 139 | 44.3 | |
年龄/岁 | < 39 | 72 | 22.9 |
40~59 | 139 | 44.3 | |
> 60 | 103 | 32.8 | |
婚姻状况 | 未婚 | 33 | 10.5 |
已婚 | 262 | 83.4 | |
离异或丧偶 | 19 | 6.1 | |
学历 | 初中及以下 | 163 | 51.9 |
高中/中专 | 76 | 24.2 | |
本科/大专及以上 | 75 | 23.9 | |
职业 | 工人 | 116 | 36.9 |
农民 | 71 | 22.6 | |
企事业单位工作人员 | 30 | 9.6 | |
其他 | 97 | 30.9 | |
月收入/元 | < 2000 | 118 | 37.6 |
2000~5999 | 153 | 48.7 | |
> 6000 | 43 | 13.7 | |
长期居住地 | 云冈区 | 190 | 60.5 |
本市其他行政区县 | 85 | 27.1 | |
外市及外省 | 39 | 12.4 | |
医疗付费方式 | 城镇职工基本医疗保险 | 145 | 46.2 |
城乡居民基本医疗保险 | 117 | 37.3 | |
全自费 | 27 | 8.6 | |
其他 | 25 | 8.0 | |
日常照料人 | 家庭成员 | 265 | 84.4 |
付费护工 | 33 | 10.5 | |
其他 | 16 | 5.1 |
"
项目 | 愿意 | 不愿意 | χ2值 | P值 | |
---|---|---|---|---|---|
年龄/岁 | < 39 | 33 | 39 | 7.755 | 0.021 |
40~59 | 56 | 83 | |||
> 60 | 60 | 43 | |||
病种类型 | 神经康复 | 76 | 36 | 29.071 | < 0.001 |
骨科康复 | 73 | 129 | |||
康复期 | 急性期 | 44 | 64 | 12.719 | 0.004 |
稳定期 | 3 | 12 | |||
恢复期 | 100 | 82 | |||
后遗症期 | 2 | 7 | |||
向下转诊经历 | 有 | 39 | 16 | 14.714 | < 0.001 |
没有 | 110 | 149 | |||
对双向转诊政策的了解程度 | 非常了解 | 20 | 5 | 21.846 | < 0.001 |
了解 | 37 | 27 | |||
不确定 | 28 | 24 | |||
不了解 | 57 | 98 | |||
非常不了解 | 7 | 11 | |||
对双向转诊政策必要性的看法 | 非常没必要 | 32 | 12 | 34.070 | < 0.001 |
没必要 | 49 | 34 | |||
不确定 | 62 | 87 | |||
有必要 | 6 | 24 | |||
非常有必要 | 0 | 8 | |||
对城市医疗集团的了解程度 | 非常了解 | 24 | 9 | 21.594 | < 0.001 |
了解 | 43 | 31 | |||
不确定 | 27 | 31 | |||
不了解 | 54 | 85 | |||
非常不了解 | 1 | 9 | |||
对城市医疗集团建设必要性的看法 | 非常没必要 | 33 | 23 | 15.944 | 0.003 |
没必要 | 69 | 56 | |||
不确定 | 43 | 72 | |||
有必要 | 4 | 11 | |||
非常有必要 | 0 | 3 |
"
项目 | β | S.E. | χ2值 | P值 | Exp(β) | 95%CI | |
---|---|---|---|---|---|---|---|
下限 | 上限 | ||||||
病种类型 | |||||||
骨科康复 | |||||||
神经康复 | 1.399 | 0.289 | 23.378 | < 0.001 | 4.05 | 2.297 | 7.139 |
康复期 | |||||||
急性期 | |||||||
稳定期 | -1.822 | 0.788 | 5.345 | 0.021 | 0.162 | 0.034 | 0.758 |
恢复期 | 0.199 | 0.287 | 0.481 | 0.488 | 1.221 | 0.695 | 2.143 |
后遗症期 | -1.191 | 0.878 | 1.841 | 0.175 | 0.304 | 0.054 | 1.698 |
向下转诊经历 | |||||||
没有 | |||||||
有过 | 1.226 | 0.37 | 10.978 | 0.001 | 3.408 | 1.650 | 7.040 |
对双向转诊政策必要性的看法 | |||||||
非常有必要 | |||||||
有必要 | -0.902 | 0.449 | 4.041 | 0.044 | 0.406 | 0.168 | 0.978 |
不确定 | -1.618 | 0.419 | 14.946 | < 0.001 | 0.198 | 0.087 | 0.450 |
没必要 | -2.981 | 0.644 | 21.437 | < 0.001 | 0.051 | 0.014 | 0.179 |
非常没必要 | -21.620 | 13917.868 | < 0.001 | 0.999 | < 0.001 | < 0.001 | < 0.001 |
常量 | -0.651 | 0.936 | 0.484 | 0.487 | 0.521 |
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