<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">ASDS</journal-id><journal-title-group><journal-title>Applied Statistics and Data Science</journal-title></journal-title-group><issn>3066-8433</issn><eissn>3066-8441</eissn><publisher><publisher-name>Art and Technology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/ASDS.2025070007</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>中老年“两病”患者基层医疗机构首诊意愿影响因素分析——对广东省中山市639位中老年“两病”患者的调查</title><url>https://artdesignp.com/journal/ASDS/1/7/10.61369/ASDS.2025070007</url><author>邱伊汶,张玥,杨美婵</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>1</volume><issue>7</issue><history><date date-type="pub"><published-time>2025-09-20</published-time></date></history><abstract>基于安德森模型，研究中老年&amp;ldquo;两病&amp;rdquo;患者基层医疗机构首诊意愿及影响因素，为优化&amp;ldquo;两病&amp;rdquo;门诊政策提供参考。方法：采用便利抽样法在广东省中山市抽取639位中老年&amp;ldquo;两病&amp;rdquo;患者进行问卷调查，将改进后的安德森模型的各维度变量纳入统计分析，探讨中老年&amp;ldquo;两病&amp;rdquo;患者基层医疗机构首诊行为的影响因素。二元logistic回归显示，报销比例认知情况、支付限额认知情况、门诊慢性病种认知情况、药品费用满意程度以及治疗效果满意程度对中老年&amp;ldquo;两病&amp;rdquo;患者基层首诊意愿有显著影响。 结论：中山市中老年&amp;ldquo;两病&amp;rdquo;患者基层医疗机构首诊意愿较高。建议有关部门继续加强政策宣传，提高基层医疗机构服务质量，优化医保政策，促进分级诊疗政策的实施。</abstract><keywords>安德森模型,糖尿病与高血压,基层首诊,中老年患者</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]中国心血管健康与疾病报告编写组. (2022). 中国心血管健康与疾病报告2021概要. 心脑血管病防治，22(04), 20-36+40.[2]张俊丽，张毅华，苏文，等. (2023). 横琴粤澳深度合作区&amp;ldquo;两病&amp;rdquo;患者用药减免政策实施效果调查. 医学与哲学，44(09), 31-34.[3]Kringos DS, Boerma WG, Hutchinson A, et al. The breadth of primary care: a systematic literature review of its core dimensions[J]. BMC health services research, 2010, 10(1): 65.[4]Madden,H., Harris, J., Blickem, C.et al.&amp;ldquo;Always paracetamol, they give them paracetamol for everything&amp;rdquo;: a qualitative study examining Eastern European migrants&amp;rsquo;experiences of the UK health service.BMC Health Serv Res 17, 604 (2017). https://doi.org/10.1186/s12913-017-2526-3.[5]The Models of Primary Care Organisation in Europe, Canada, Australia and New-Zealand (nivel.nl).[6]LIPTON B J.Association between Health Insurance and Health among Adults with Diabetes:Evidence from Medicare [J].Journal of the American Geriatrics Society,2020,68(2):388-94.[7]YOU C H,CHOI J H,KANG S,et al.Association between supplementary private health insurance and visits to physician offices versus hospital outpatient departments among adults with diabetes in the universal public insurance system [J]. PIos One,2018,13(4).[8]中国居民营养与慢性病状况报告编写组. (2020). 中国居民营养与慢性病状况报告（2020年）. 营养学报，42(06), 521.[9]刘贝贝，田庆丰，郭金玲. (2022). 我国中老年人群慢性病患病现状及共病模式分析. 医学与社会，35(08), 58-61+66. DOI: 10.13723/j.yxysh.2022.08.011.[10]Andersen, R. M. (1968). FAMILIES'USE OF HEALTH SERVICES: A BEHAVIORAL MODEL OF PREDISPOSING, ENABLING, AND NEED COMPONENTS. Purdue University.[11]吕凯，周娜，吕巧红，等. (2023). 医共体模式下海岛居民基层首诊意愿及行为的影响因素分析. 护理与康复，22(09), 63-67.[12]吕艳霞，胡盟，&amp;amp; 徐爱军. (2021). 江苏省门诊患者利用中医药服务行为的影响因素探讨. 中国药房，32(21), 2668-2672.[13]王薇，李力桢，&amp;amp; 任毅. (2018). 广州市基层首诊政策执行困境及对策. 现代医院管理，16(02), 17-19+23.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
