1.安徽医科大学卫生管理学院;2.安徽医科大学第一附属医院
2016年度安徽省科技重大专项项目（16030901061）
1.School of Health Service Management，Anhui Medical University;2.The First Hospital of Anhui Medical University
目的 分析中国居民就医选择的影响因素，并影响因素间差异的原因，以期为更好地深化落实医疗体制改革提供针对性的建议。 方法 检索收集中国2000-2017年发表的有关中国居民就医选择供给侧影响因素的文献，用 meta分析方法进行定量综合分析。 结果 共筛选出24篇文献，经meta分析后得出中国居民就医选择的影响因素从大到小依次为：医疗技术（33.2%），就医便利性（28.5%），就医费用（14.2%），人文关怀（13.8%），就医环境（10.8%），医保政策（8.4%），广告效应或有熟人关系（6.7%）。 结论 中国居民就医选择主要受医疗技术与就医便利性影响，医保政策没有发挥足够的引导作用。应调整或出台相应的政策措施，推动分级诊疗的进一步落实。
To study the influencing factors of Chinese health seeking behavior. Method We searched and collected the literature which studies on the influencing factors of Chinese health seeking behavior from 2000 to 2017. A comprehensively quantitative assessment was made by meta-analysis, including drawing forest plots, calculating the pooled SMD and the 95% confidence interval (95% CI). The biases were controlled according to Begger’s test and Egger’s test. Results A total of 24 studies including 18162 cases, After meta-analysis, the influence factors of Chinese residents' medical treatment choice are as follows：Medical quality（33.2%），Convenience of medical treatment（28.5%），Medical expenses（14.2%），Humanistic care（13.8%），Medical Environment（10.8%），Medical insurance policy（8.4%），Advertising effect or acquaintance（6.7%）. Conclusion Chinese residents' medical treatment selection is mainly affected by medical technology and medical convenience, and the policy of medical insurance has not played a leading role. The corresponding policies and measures should be introduced or adjusted to promote the further implementation of the classification diagnosis and treatment.
