Analysis on the utilization and influencing factors of outpatient and inpatient services in patients with pneumoconiosis.

Objective To investigate the utilization of outpatient and inpatient services in patients with pneumoconiosis and its influencing factors. Methods By using the convenient sampling method, 199 pneumoconiosis patients were selected from the West China Fourth Hospital, and their population characteristics, medical treatment-seeking behavior, and influencing factors were investigated by using the questionnaire on pneumoconiosis patients and its influencing factors compiled by CDC of China. Multivariate logistic regression model and multivariate poisons regression model were used to analyze the influencing factors of outpatient and inpatient service utilization. Results The two-week outpatient rate of pneumoconiosis patients surveyed was 27.6%, the median number of outpatients used in one year was twice, and the annual hospitalization rate was 61.8%. For hospitalized patients, the median number of hospitalizations per year was 1, and the median cumulative hospitalization days was 30 days. The average visual health scale (VAS) score of patients was 48.3±17.4. Multivariate logistic regression and multivariate poisons regression analysis showed that pneumoconiosis patients with basic health insurance (OR = 0.067, 95% CI: 0.006-0.716), higher frequency of medication (OR=0.100, 95% CI: 0.037-0.269), and lower VAS score (OR = 0.992, 95% CI: 0.988-0.997) had less use of outpatient services. Pneumoconiosis patients with recent exacerbation of cough (OR=5.530, 95% CI: 2.446-12.501), work injury insurance (OR=1.183, 95% CI:1.015-1.379), and lower income (OR=0.980, 95% CI: 0.965-0.997) had more use of outpatient services. Pneumoconiosis patients who were married (OR=0.063, 95% CI: 0.005-0.771) and had lower VAS scores (OR=8.463, 95% CI: 3.090-23.248) had less use of inpatient services. Pneumoconiosis patients with higher frequency of medication (OR=8.463, 95% CI: 3.090-23.248), complicated with core pulmonale (OR = 1.855, 95% CI: 1.307-2.634), pneumoconiosis compensation (OR=3.358, 95% CI: 1.183-9.529), social relief (OR=1.402, 95% CI: 1.047-1.877) and more active communication with patients (OR=2.158, 95% CI: 1.061-4.390) were likely to have more use of inpatient services. Conclusion The utilization rates of outpatients and inpatients with pneumoconiosis are higher than the national average. The health status, economic level, and social support level of patients with pneumoconiosis are important factors affecting their medical treatment behavior. [ABSTRACT FROM AUTHOR]