›› 2010, Vol. 30 ›› Issue (8): 948-.doi: 10.3969/j.issn.1674-8115.2010.08.019

• Original article (Public health administration) • Previous Articles     Next Articles

Analysis and policy suggestion on hospitalizing intention of residents in Shanghai

BAO Yong, DU Xue-li, ZOU Lu-ming, PENG Hui-zhen, LIANG Ying, ZHU Hong-min, DONG En-hong, LIU Wei   

  1. School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2010-08-25 Published:2010-08-27
  • Supported by:

    National Natural Science Foundation of China, 70973078


Objective To investigate the hospitalizing intention of residents in Shanghai, and put forward policy suggestion. Methods Three thousand and six hundred residents were selected by random stratified sampling from 2 urban districts, 2 rural-urban fringe districrts and 2 suburban districts. Four hundred outpatients (200 from hospitals and 200 from community health centers) and 200 inpatients (from hospitals) were selected from each district for a questionnaire-based survey, which included basic information of patients, level of preferred hospital and reason for the choice of hospitals. Results A total of 3 244 questionnaires were recovered, with the recovery rate of 90.1%. For outpatients, 56.3% preferred community health centers, and 34.0% superior hospitals. For inpatients, 38.3% preferred community health centers, and 42.9% superior hospitals. For outpatients, 44.8% made the choice for close distance, 31.2% for high-quality medical care, 10.3% for friendly service, and 5.2% for low cost. For inpatients, 49.9% made the choice for high-quality medical care, 27.2% for close distance, and 7.6% for friendly service. Conclusion A new type of medical and health service delivery model should be constructed for residents in Shanghai. Much attention should be paid to the 2-level medical service system of regional medical service center and primary health care institution.

Key words: hospitalizing intention, first treatment system, community residents, medical and public health reform, Shanghai