中文摘要：

目的对中国上海某社区不同保障水平居民就医行为和影响因素的调查，了解居民的医疗需求，指导医院提供满足社区居民需要的医疗服务。方法采用自行编制的调查问卷，内容包含有居民性别、年龄、化程度、医疗保障等情况。由经过培训的医护人员，在社区居委的协助下进行发放、填写。调查对象为居住该社区半年以上的居民、具有行为意识能力、愿意接受调查者1200名（占社区居民人口的1％）。结果医保及有其他保障居民选择综合性医院的比例较高，无医保及其他居民认为等候时间太长而不选择综合性医院，合作医疗居民对费用、服务态度、交通因素占有较高比例。选择社区医院就医的原因中在医疗费用存在差异，医保居民认为没有药品不选择社区医院就医占有较高的比例。结论居民就医行为受医疗保障状况影响。

英文摘要：

Objective To acquire the demands of residents for medical care, guide the hospitals to satisfy the needs for medical services and provide the basis for improving hospitalizing behavior of residents by researching the intention of community residents for hospitalizing behavior with different insurance level and related factors in Shanghai, China. Methods The research was earfled out on the basis of a self-made questionnaire, which included the gender, age, medical insurance, educational degree, and the choice of hospital institution and the factors in case of sickness. This survey was launched in August,2008 and ended in December,2008. All the questionnaires were handed out, filled in and collected with the assistance of occupational medical staff and community committee. Results The informants with different kinds of medical insurance preferred to the superior hospital, while the informants with cooperative medical scheme and semi-medical insurance preferred to the elementary hospital. The informants with cooperative medical scheme and semi-medical insurance choose the medical expense as main factor for hospitalizing. The main factor for informants with medical insurance on not choosing elementary hospital was the short of medicine. Conclusion Hospitalizing behavior of residents is affected by medical insurance. More attention should be paid to elders.