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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
第4期 总第135期 南 ·
2026年8月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 405
Journal
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tude across race，gender，and education［J］. Med Decis （本文编辑：姜 鑫）

Healthcare⁃seeking behavior preferences among residents and their

influencing factors

Liu Xuan，He Kai，He Yiting，Wang Chenyu，Xiao Jincheng
School of Health Management，Anhui Medical University，Hefei 231200，China
Abstract：This study analyzes residents’healthcare ⁃ seeking behavior preferences and their influencing
factors，and interprets residents’tendency to maintain existing healthcare choices from the perspective of status
quo bias theory，to provide references for optimizing the healthcare ⁃ seeking structure and advancing the
implementation of the hierarchical diagnosis and treatment policy. A questionnaire survey was conducted among
residents in Hefei City，Anhui Province，from November to December 2025 using multi ⁃ stage stratified
sampling. Results indicate that the mean score of status quo bias was 3.12±0.69. Factors including gender，per
capita monthly household income，chronic disease status，annual frequency of healthcare visits，self⁃perceived
severity of illness，regular healthcare institution，and healthcare⁃seeking inertia significantly influenced status
quo bias （P<0.05），with healthcare inertia having the strongest impact （β =0.301）. Females，low ⁃ income
individuals，those with chronic diseases，more frequent annual healthcare visits，self⁃perceived severe illness，

and those seeking care at large hospitals exhibited a stronger tendency to continue using their existing
healthcare institutions. These findings suggest that residents’healthcare⁃seeking behavior preferences exhibit a
certain degree of stability，and that status quo bias theory provides a behavioral economics perspective on
residents’tendency to maintain existing healthcare choices. Differentiated strategies should be adopted for
different population groups，including reducing institutional switching costs，strengthening continuity of care
and dual⁃referral coordination，and improving the accessibility and reliability of primary healthcare services，so
as to encourage residents who tend to seek care at higher⁃level hospitals toward primary care institutions.
Key words：healthcare ⁃ seeking behavior；hierarchical diagnosis and treatment；status quo bias；behavioral
economics