Study On The Characteristics And Influencing Factors Of Female Households’ Health Service Utilization Behavior

Objective:Based on the 6-month monitoring data of the 2016 National Residents’ Health Service Utilization Monitoring Project,this paper analyzes the panel data and understands the current utilization characteristics of female household heads in China,including diversity,economy and continuity,and related factors that affect the utilization of health services.It provides a basis for the formulation of relevant policies for improving the health of residents,reducing the burden of diseases for the residents,and achieving equalization of medical resources.Method:Literature research method.Through the collection and collation of research papers on health service utilization behaviors in domestic and foreign databases,the research status,research focus and difficulties of domestic and foreign experts and scholars on health service utilization behavior in the past two decades are based on Anderson model and health belief model.In combination with other relevant literatures,this paper analyzes the analytical dimensions of the research on the utilization behavior of female household heads in health services.Qualitative research method.Part of the data in the "National Residents Health Service Utilization Behavior Monitoring" project organized by the 2016 National Health and Wellness Committee Statistical Information Center was used as a research sample.The monitoring project is a sample survey.The sampling sites include four provinces and eight counties,and the household survey is conducted in the form of a questionnaire.Statistical and regression analysis.The data was collected using EpiData2 for the sample data,and then the database was cleaned and extracted using Microsoft Office Excel 2007.After completing the preliminary work,descriptive statistics and binary logistic regression model analysis were performed using IBM SPSS Statistics 23.0,and multi-order logistic regression analysis and multivariate disorder logistic regression analysis were performed using Stata13.0.Results:Diversity,Chronic patients and non-chronic patients in female household heads,the patient group and the unaffected patient group are significantly different in the way of seeking medical treatment preferences,understanding and treating diseases.The time of treatment is affected by age,education level,type of medical insurance,type of chronic disease,size of family population,and the nature of the household registration on weekdays or weekends.Age,education level,employment status,marital status,annual income per capita,medical security,medical accessibility,number of chronic patients in the family,type of chronic disease,and VAS score of the person,all of which will select whether the female family head of the household chooses to see a doctor.Have an impact.Continuity,During the 6-month monitoring period,the self-evaluation status of the patient group was worse than that of the non-patient group,and the self-evaluation status of the chronic patient group was worse than that of the non-chronic patient group.Season and temperature have an impact on the health self-assessment of female household heads.The path dependence of patients with chronic diseases is higher than that of patients with non-chronic diseases.The medical institutions that choose the most frequently provided services for the patients are non-basic medical institutions with higher concentration than the grassroots.Rural residents,the elderly over the age of 65,the low per capita income of the family,the low annual per capita medical expenses of the family,the person who is within 1 km of the nearest medical institution,and the type of medical institution closest to the home is the grassroots People,people with high blood pressure and diabetes tend to go tothe grassroots institutions for continuous treatment.Economy,The average monthly medical expenses of urban residents is higher than that of rural residents,but the monthly average medical out-of-pocket expenses are lower than that of rural residents.The medical expenses of the high-expenditure group are the hospitalization expenses,and the medical expenses of the middle-expenditure group and the low-expenditure group are the outpatient expenses.Hypertension has always been the leading cause of the highest cost of medical care.The number of patients in the female household head is non-local,older,participating in urban workers and urban residents’ medical insurance,and the nearest medical institution is at the county level and above,is a chronically ill patient,has a high number of visits,and is continuously visiting a non-primary medical institution.In the form of hospitalization or outpatient+inpatient,it is more likely to generate high medical expenses.Conclusion:Pay attention to the establishment of monitoring system for residents’health service utilization behavior.The residents’ health service utilization behavior monitoring project can make up for the shortcomings of the national five-year health service survey,such as lack of insufficient accuracy for the population.It is also the mastery of the health service utilization behavior of special populations and the prediction of future development trends.Meet the diverse needs of female household heads in the use of health services.By improving the awareness of medical care and health care among female household heads,paying attention to the importance of time factors to the importance of female household heads,improving the quality and safety of health services,and ensuring the health rights of female household heads and improving the efficiency of health service utilization.Grasping the continuity of the use of health services by female household heads.Pay attention to the influence of seasonal and temperature factors on the health status of female household heads,so as to further promote the classification diagnosis and treatment mode and realize the rational allocation of resources.Pay attention to the economic burden of the use of health services by female household heads.Pay attention to the economic burden of diseases of rural residents,chronic patients and the elderly,and adopt the reform of medical insurance payment methods and the sound medical security system as the entry point to alleviate the economic burden of diseases in this part of the population,and for Bring the gospel to some families who may become poor due to illness and return to poverty due to illness.