Multiple Correspondence Analysis on Rural Residents' Choices of Medical Institutions with Common Disease

摘要

Patients' choices of medical institutions reflect the flow direction of patients and requirements for different levels medical services. Reasonable distribution of medical services can improve health resource configuration structure and investing adjustment of health resource by redistributing medical services in different medical institutions. Method: This paper adopts multi-stage stratified sampling to pick out rural residents from six cities in Shandong province to make a research. Descriptive analysis has been applied to analyze the preferences with providers and their reasons of rural residents. Then multiple correspondence analysis (MCA) has been used to analyze different characteristics of medical institutions for rural residents. Results: The first choice of rural residents is rural clinic, which accounts for 57.2%. The advantages of private clinics (440 points), rural clinics (1893 points) and township hospitals or community health service (CHS) institutions (444 points) are close distance and convenience, while the advantage of county hospitals (128 points) or other medical institutions (57 points) is high-level medical skills. It has a statistical meaning and choice differences based on different age, education background, income and employment status (P<0.00). The characteristics of rural residents to choose different types of medical institutions are also different. Conclusion: It is necessary to increase invest in PHC institutions especially the construction of rural clinics. The service ability of PHC institutions should be improved. And to improve harmonious development, the construction of medical institutions both in county and township needs to be reasonably planned. Publication and guidance of reasonable medical concept to college students should also be intensified. Policy combination of perfecting essential medicine system, health care system and other medical service system should be improved to guide rural residents to form a reasonable and scientific choice of medical institutions.