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预防医学  2020, Vol. 32 Issue (8): 767-773    DOI: 10.19485/j.cnki.issn2096-5087.2020.08.003
  论著 本期目录 | 过刊浏览 | 高级检索 |
浙江省18~25岁人群基层医疗机构就诊意向和满意度调查
徐韵涵1, 潘佳豪1, 何雨飒1, 叶炳琪1, 谢任翔1, 吐尼沙古丽·买合木提1, 徐锌1, 王迪娜1, 王道森1, 俞林杰1, 陈民和1, 严若晨1, 薛可欣1, 付雅静1, 叶怀庄1, 吴息凤1,2, 李秀央1,2
1.浙江大学医学院,浙江 杭州 310058;
2.浙江大学医学院附属第二医院
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
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摘要 目的 了解浙江省18~25岁人群基层医疗机构就诊意向和卫生服务满意度,并分析影响因素,为提升基层医疗机构卫生服务质量提供依据。方法 于2019年11—12月采用“问卷星”制作电子问卷并通过微信推送,调查浙江省18~25岁人群的基本情况、基层医疗机构就诊意向和卫生服务满意度。采用Logistic回归模型分析基层医疗机构就诊意向和卫生服务满意度的影响因素,采用重要性矩阵分析基层医疗机构卫生服务满意度的关键驱动因素。结果 共发放问卷664份,有效问卷620份,有效率为93.37%。有基层医疗机构就诊意向142人,占22.90%。过去一年有基层医疗机构就诊经历516人,占83.23%;其中对基层医疗机构卫生服务感到满意和很满意384人,占74.42%。多因素Logistic回归分析结果显示,参与新型农村合作医疗保险(OR=3.062,95%CI:1.745~5.373)和在社区(村)卫生服务中心(站)有健康档案(OR=0.547,95%CI:0.308~0.970)是18~25岁人群基层医疗机构就诊意向的影响因素;医生的技术水平(OR=1.478,95%CI:1.168~1.871)、医护人员药物告知情况(OR=1.308,95%CI:1.065~1.606)、常规项目检查(OR=1.523,95%CI:1.227~1.889)、支付方式(OR=1.168,95%CI:1.017~1.340)、就医环境舒适性(OR=1.785,95%CI:1.437~2.219)和卫生知识宣传栏(OR=1.302,95%CI:1.086~1.561)是18~25岁人群基层医疗机构卫生服务满意度的影响因素。重要性矩阵分析结果显示,“常规项目检查”和“医生的技术水平”位于优先改进区;“就医环境舒适性”位于竞争优势区;“医护人员药物告知情况”位于次要改进区;“支付方式”和“卫生知识宣传栏”位于有待分析区。结论 浙江省18~25岁人群基层医疗机构就诊意向较低,就诊意向受社区(村)卫生服务中心(站)有无健康档案和社会医疗保险类型的影响;但对基层医疗机构卫生服务较为满意,医生的技术水平和常规项目检查是基层医疗机构卫生服务满意度的关键驱动因素。
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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
关键词 基层医疗机构就诊意向满意度关键驱动因素    
AbstractObjective 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.
Key wordsprimary medical institutions    intention to seek medical advice    satisfaction    key driver
收稿日期: 2020-03-07      出版日期: 2020-08-14
ZTFLH:  R197.3  
基金资助:浙江省大学生科技创新活动计划(新苗人才计划)项目(2020R401093)
通信作者: 李秀央,E-mail:lixiuyang@zju.edu.cn;吴息凤,E-mail:xifengw@zju.edu.cn   
作者简介: 徐韵涵,本科在读
引用本文:   
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.
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