关键词: 分级诊疗, 农村居民, 基层医院, 就医选择

Abstract: 914 rural residents were selected by random stratified sampling method to understand their cognition of hierarchical diagnosis and treatment system, the characteristics of medical treatment choice and the relevant factors influencing their medical treatment choice. The results showed that, 57.33% of the respondents did not know the hierarchical diagnosis and treatment system, 79.87% of the respondents agreed with the hierarchical diagnosis and treatment system;when suffering from minor diseases/common diseases, 64.99% of the respondents chose to go to primary hospital, 20.02% of the respondents chose to go to secondary and tertiary hospital, and 14.99% of the respondents chose to go to private clinics / pharmacies;in terms of medical service attitude, hospital health environment, facilities and equipment perfection , the overall satisfaction degree of the respondents to the secondary and tertiary hospital was better than that of the primary hospital; average monthly income, distance from the nearest primary hospital（walking time）, awareness of hierarchical diagnosis and treatment system, purchase of medical insurance and self-assessment of health status were the main factors influencing the medical treatment choice of rural residents.

Key words: hierarchical diagnosis and treatment, rural residents, primary hospital, choice of medical treatment