Intention and satisfaction of people aged 18 to 25 years to seek medical advice in primary medical institutions in Zhejiang Province
XU Yunhan*, PAN Jiahao, HE Yusa, YE Bingqi, XIE Renxiang, MAIHEMUTI Tunishaguli, XU Xin, WANG Dina, WANG Daosen, YU Linjie, CHEN Minhe, YAN Ruochen, XUE Kexin, FU Yajing, YE Huaizhuang, WU Xifeng, LI Xiuyang
*School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310058, China
Abstract：Objective To analyze the status and influencing factors of the intention of people aged 18 to 25 years to primary medical institutions and their satisfaction for health services in Zhejiang Province, so as to provide basis for the improvement of health services in primary medical institutions. Methods During November and December in 2019,the 18-25 year-old people in Zhejiang Province were recruited to investigate the general information, intention to seek medical advice and satisfaction for health services in primary medical institutions through WeChat. Logistic regression was performed to analyze the influencing factors of the intention and the satisfaction. Importance matrix was used to analyze the key drivers of the satisfaction. Results Among the 620 people surveyed, with a response rate of 93.37%, 142 (22.90%) chose primary medical institutions for advice. Actually 516 (83.23%) people went to primary medical institutions last year, and 384 ( 74.42% ) of them were satisfied with the health services. The results of multivariate logistic regression analysis showed that the people aged 18-25 years who were under the new rural cooperative medical care system ( OR=3.062, 95%CI: 1.745-5.373 ) and who had records in community health centers ( OR=0.547, 95%CI: 0.308-0.970 ) were more likely to go to primary medical institutions for medical advice; the ability of doctors ( OR=1.478, 95%CI:1.168-1.871 ) ,the drug notification by medical staff ( OR=1.308, 95%CI: 1.065-1.606 ) , routine examination items ( OR=1.523, 95%CI: 1.227-1.889 ) , the ways of payment ( OR=1.168, 95%CI: 1.017-1.340 ) , the comfort of environment ( OR=1.785, 95%CI: 1.437-2.219 ) and the bulletin boards of health knowledge ( OR=1.302, 95%CI: 1.086-1.561 ) were associated with the satisfaction. The results of importance matrix analysis showed that the ability of doctors and routine examination items were the priorities to improve, followed by the drug notification by medical staff; the comfort of environment had competitive advantages; the ways of payment and the bulletin boards of health knowledge needed to be further analyzed. Conclusions The 18-25-year-old people in Zhejiang Province were less intended to seek medical advice in primary medical institutions, which was associated with the type of medical insurance and records in community health centers. They were satisfied with the health services, the ability of doctors and routine examination items were the key drivers.
徐韵涵, 潘佳豪, 何雨飒, 叶炳琪, 谢任翔, 吐尼沙古丽·买合木提, 徐锌, 王迪娜, 王道森, 俞林杰, 陈民和, 严若晨, 薛可欣, 付雅静, 叶怀庄, 吴息凤, 李秀央. 浙江省18~25岁人群基层医疗机构就诊意向和满意度调查[J]. 预防医学, 2020, 32(8): 767-773.
XU Yunhan, PAN Jiahao, HE Yusa, YE Bingqi, XIE Renxiang, MAIHEMUTI Tunishaguli, XU Xin, WANG Dina, WANG Daosen, YU Linjie, CHEN Minhe, YAN Ruochen, XUE Kexin, FU Yajing, YE Huaizhuang, WU Xifeng, LI Xiuyang. Intention and satisfaction of people aged 18 to 25 years to seek medical advice in primary medical institutions in Zhejiang Province. Preventive Medicine, 2020, 32(8): 767-773.
