[1]余 芳,王 娜,高祺阳,等.宁夏基层医疗机构就诊选择人群特征研究 ——基于关联规则挖掘分析[J].卫生经济研究,2023,40(5):4-8.
　YU Fang,WANG Na,GAO Qiyang,et al.Study on the Characteristics of the Population Selected for Primary Medical Institutions in Ningxia——Based on Association Rule Mining Analysis[J].Journal Press of Health Economics Research,2023,40(5):4-8.
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宁夏基层医疗机构就诊选择人群特征研究
——基于关联规则挖掘分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
40
期数:
2023年5期
页码:
4-8
栏目:
卫生服务需求
出版日期:
2023-05-05

文章信息/Info

Title:
Study on the Characteristics of the Population Selected for Primary Medical Institutions in Ningxia
——Based on Association Rule Mining Analysis
作者:
余 芳1; 2; 王 娜1; 2; 高祺阳1; 2; 苏 源1; 3
1.宁夏医科大学公共卫生与管理学院，宁夏 银川 750004
2.宁夏医科大学公共管理研究中心，宁夏 银川 750004
3.宁夏环境因素与慢性病控制重点实验室，宁夏 银川 750004
Author(s):
YU Fang;  WANG Na;  GAO Qiyang;  SU Yuan
School of Public Health and Management, Ningxia Medical University, Yinchuan Ningxia 750004, China
关键词:
关联规则挖掘; 基层医疗机构; 就医选择; 人群特征; 宁夏
Keywords:
association rule mining;  primary medical institutions;  medical care choice;  population characteristics;  Ningxia
分类号:
R195
文献标志码:
A
摘要:
目的：研究宁夏选择基层医疗机构就诊的人群特征，对提升基层就诊率提出思考建议。方法：以1 171位城乡居民为研究对象，针对基层就诊人群特征进行单因素分析和关联规则挖掘分析。结果：单因素分析显示，基层就诊人群的显著性变量包括个体特征因素（7个）、健康需要因素（4个）、医疗机构因素（12个）和政策认知因素（6个）；关联规则挖掘分析提示，有配偶、初中及以下学历、关注就医距离近、偏好候诊时间短的人群更倾向于选择基层医疗机构就诊，其支持度为20.15%，置信度为88.14%。结论：加大相关政策宣传力度，提高基层医疗机构的诊疗水平和服务能力，有效引导居民基层就诊，从而提高基层就诊率。
Abstract:
Objective To analyze the population characteristics of Ningxia residents' choice of primary medical treatment, and to provide decision-making reference for further improving the ability of primary medical service. Methods Using 1171 urban and rural residents as the research object, single factor analysis and association rule mining analysis were applied to analyze population characteristics. Results Single factor analysis showed that significant variables included individual characteristic factors(7), health needs factors(4), medical institution factors (12), and policy cognition factors (6). Association rule mining analysis suggested that individuals with spouses, junior high school education or below, close medical attention, and short waiting time preferences were more likely to choose primary medical institutions for treatment, with a support level of 20.15% and a confidence level of 88.14%. Conclusion We should increase the publicity of relevant policies, improve the diagnosis and treatment level and service capacity of primary medical institutions, guide the residents to seek medical treatment at primary medical institutions, and increase the visiting rate of primary medical institutions.

参考文献/References:

[1] 刘宁，陈敏. 基于分级诊疗视角的就医行为分析及相关策略研究[J].中国医院管理，2016，36（9）：19-21.
[2] 倪娜娜，刘胜兰，彭晶晶，等.北京市朝阳区居民社区首诊意愿及影响因素研究[J].中国全科医学，2016，19（16）：1933-1938.
[3] 李谧.山东省门诊就诊老年人就医流向研究[D].济南：山东大学，2018.
[4] 李慧娟.甘肃省农村地区家庭医生签约服务现状调查[D].兰州：兰州大学，2020.
[5] 王惠娟，刘晓云.新医改背景下北京市居民基层就诊行为变化特征：基于2013年和2018年国家卫生服务调查数据[J].中国全科医学，2022，25（1）：50-54.
[6] Wei Z,Bai J,Feng R.Evaluating the spatial accessibility of medical resources taking into account the residents' choice behavior of outpatient and inpatient medical treatment[J].Socio-Economic Planning Sciences,2022,83:101336-101337.
[7] 常琴雪，王肖萌，王淳，等.基于关联规则的老年人脂肪肝相关危险因素研究[J].中国卫生统计，2022，39（4）：558-561.
[8] Amir-mohsen K,Masoud M.A new data mining methodology for generating new service ideas[J].Information Systems and e-Business Management,2015,13(3):421-443.
[9] 李勇男.基于多层次关联规则挖掘的反恐情报跨层特征关联分析[J].情报科学，2021，39（11）：127-132.
[10] 纪文璐，王海龙，苏贵斌，等.基于关联规则算法的推荐方法研究综述[J].计算机工程与应用，2020，56（22）33-41.
[11] 阿拉依·阿汗.基于关联规则高血压相关因素的交互效应分析[D].乌鲁木齐：新疆医科大学，2018.

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更新日期/Last Update: 2023-05-05