北京市手足口病患者就医行为研究

Jiaojiao Wang, Jinglu Chen, Quannan Zu, Zhidong Cao, Saike He, D. Zeng
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引用次数: 0

摘要

求医行为是制定、发展和改变医疗卫生政策和医疗保险制度的动力,也是改革和完善医疗卫生制度的重要依据。本文主要以北京手足口病为例,探讨HSB的“模式-驱动因素”。利用病历异质性信息提取HSB指数,构建HSB网络,明确HSB的时空分布,并利用地理加权回归分析HSB与社会经济因素的空间关联。手足口病发病率、幼儿园的空间分布、公园、厕所等公共基础设施的规模是当地HSB的重要驱动因素。基于复杂网络、地理信息系统和空间统计技术应用的结果将为卫生资源的优化配置和疾病控制和预防决策提供有价值的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare-seeking behavior study on Beijing Hand-Foot-Mouth Disease Patients
Healthcare-seeking behavior (HSB) is the motivation of formulating, developing and changing healthcare policy and medical insurance system, also the important reference of reforming and improving healthcare systems. This paper mainly focused on exploring ‘Patterns-Drivers’ of HSB using a case study on Beijing Hand-Foot-Mouth Disease (HFMD) in China. We extracted the index for HSB and constructed the networks using the heterogeneous information from patients’ records, clarified the spatial-temporal distribution of HSB and examined spatial association between HSB and socioeconomic factors using Geographically Weighted Regression. It was found that HFMD morbidity, the spatial distribution of kindergarten, the scale of the public infrastructures such as the park and the toilet was the important local drivers of HSB. The outcome based on the application of complex networks, geographic information system and spatial statistical techniques would provide valuable information supporting the optimal allocation of health resources and decision-making in disease control and prevention.
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