Analysis of Health Service Utilization and its Influencing Factors among Patients with Pneumoconiosis in China

• 作者: WANG Huan Qiang JIA Jun Lin JIANG Zhao Qiang JIN Qi LI Dong Xia LING Rui Jie LI Ying CUI Ping CHEN Gang ZHAO Hong Yu LI Yan WEN Ke LYU Xiang Pei LOU Jian Lin LI Tao
• 来源期刊: 生物医学与环境科学（英文版）
• 年，卷（期）: 2021,（1）
• 所属期刊栏目: Special Column: Pneumoconiosis
• 页码范围: 83-88
• 页数: 6页
• 语种: 英文
• DOI: 10.3967/bes2021.011

摘要

Pneumoconiosis, an interstitial lung disease that occurs from breathing in certain kinds of damaging dust particles, is a major occupational disease in China. Patients diagnosed with occupational pneumoconiosis can avail of free medical treatment, whereas patients without a diagnosis of occupational diseases cannot not claim free medical treatment in most provinces from the government before 2019. This study aimed to analyze the priority of medical facility selection and its influencing factors among patients with pneumoconiosis. A total of 1,037 patients with pneumoconiosis from nine provinces in China were investigated. The health service institutions most frequently selected by the patients were county-level hospitals (37.5％). The main reason for the choice was these hospitals' close distance to the patients' homes (47.3％). The factors for the choice of health care institutions were living in the eastern region (OR = 2.91), living in rural areas (OR = 2.10), silicosis diagnosis (OR = 2.44), employment in private enterprises (OR = 2.91), smoking (OR = 2.69), and quit smoking (OR = 3.98). The diagnosis, treatment, and rehabilitation therapy of pneumoconiosis should be enhanced in primary medical institutions.