中文摘要：

目的探讨慢性病患者的就医选择及其影响因素。方法选择341名镇江市慢性病患者,通过问卷调查,了解慢性病患者的就医选择,并分析影响患者就医选择的相关因素。结果不同性别、婚姻状况的患者选择综合医院或社区卫生服务中心就诊的比例比较,差异无统计学意义（P〉0.05）;而不同年龄、文化程度、职业、医保及月收入的患者选择综合医院或社区卫生服务中心就诊的比例比较,差异有统计学意义（P〈0.05）。年龄相对较高组（40岁及以上）和参加居民医保的患者倾向于选择社区卫生服务中心,而月收入〉4 000元和文化程度较高（中学及以上）的患者,则更倾向于综合医院。结论应合理利用年龄、文化程度、医保及月收入等因素,努力提高社区卫生服务能力,合理引导慢性病患者的就医选择。

英文摘要：

Objective To investigate the choice for medical institution and its influencing factors in patients with chronic disease.Methods A total of 341 patients with chronic diseases from Zhenjiang City were selected. A questionnaire survey was conducted for learning the choice for medical institution in patients with chronic disease. Relevant factors influencing the choice for medical institution were analyzed.Results There was no significant difference in the proportion of the choice for general hospital or community health service center between patients with different genders or marriage conditions（ P〉0. 05）. There was significant difference in the proportion of the choice for general hospital or community health service center between patients with different ages,education levels,occupations,medical insurance,and monthly incomes（ P〈0. 05）. Patients in the high age（ equal to or older than 40 years old） and patients with resident medical insurance tended to choose community health service center,while patients with more monthly income（ RMB 4 000 yuan） and patients with better education background（ equal to or above junior middle school） tended to choose general hospital. Conclusion Factors including age,education level,medical insurance and monthly income should be made proper use of,thus to improve the service ability of community health service center and guide the reasonable choice for medical institution in patients with chronic disease.