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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
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*School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310058, China |
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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.
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Received: 07 March 2020
Revised: 17 May 2020
Published: 14 August 2020
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[1] 推进分级诊疗落实功能定位[J].中国卫生, 2019(11):67. [2] 钟颖,吴春玲,陈冠桦,等. 广州市居民社区首诊意愿及影响因素研究[J]. 中国全科医学,2016,19(16):1924-1927. [3] 赵晶. 城乡居民基层卫生服务利用影响因素研究[D].南京:南京大学, 2018. [4] 黄渊秀,胡劲松,黄霜,等. 长沙市儿童青少年慢性病患病现状[J]. 公共卫生与预防医学,2018,29(5):70-73. [5] 冯祥,华召来,周琴,等. 分级诊疗背景下某市中老年居民首诊机构选择行为及影响因素[J]. 中国农村卫生事业管理, 2020, 40(1): 29-34. [6] 周钧,石菊,王小倩. 居民医疗机构选择的影响因素分析[J]. 统计与决策,2019,35(19):108-111. [7] 张龙, 陈玉, 余小文, 等. 应用TOPSIS法和RSR法综合评价社区中医预防保健服务满意度[J]. 预防医学,2020, 32(3): 262-266. [8] 翁梅芬, 肖丽华, 王媛媛. 丽水市基层妇幼保健机构及卫生服务公平性调查[J]. 预防医学,2017,29(9):967-969. [9] 国家职业分类大典和职业资格工作委员会. 中华人民共和国职业分类大典[M]. 北京:中国劳动社会保障出版社,1999. [10] 杨婧,周伟娇,张岩,等. 门诊患者满意度关键驱动因素分析[J]. 中华医院管理杂志,2016,32(8):578-581. [11] 邓绩,蒋曙东. 顾客满意的测量分析与改进[M]. 北京: 中国标准出版社,2009:130-135. [12] 李甲森,冯星淋. 我国中老年患者分级诊疗现状及影响因素研究[J]. 中国全科医学,2017,20(19):2316-2323. [13] 张翠萍,邴龙飞,岳林琳,等. 分级诊疗制度下居民首诊就医选择及影响因素分析——以潍坊市为例[J]. 中国医疗保险, 2020(2):57-63. [14] 娄鹏宇,罗盛,张锦,等. 山东省大学生健康素养与就医行为的关系[J]. 中国学校卫生,2019,40(12):1820-1823. [15] 张佳莉. 上海公立医院患者对医方信任水平提升对策研究[D]. 上海:上海师范大学,2019. [16] 敖琴,贾利高,刘军安,等. 城乡基层医疗卫生机构基本公共卫生服务居民满意度研究:以湖北省为例[J]. 中国卫生政策研究,2018,11(4):73-76. [17] 钟冰,潘海燕,王丽萍,等. 居民基层医疗卫生服务满意度的影响因素分析——以梅州市为例[J]. 中国初级卫生保健, 2019, 33(4):7-9. [18] 李扬萩,张敏,孙丁. 成都市某区老年人社区卫生服务满意度调查[J]. 中华全科医学,2018,16(4):597-599. [19] 李伦. 社区卫生服务中心人力资源非正常流失状况分析[J]. 中国初级卫生保健, 2016,30(1):18-20. [20] 杨丽,连至炜,陈新月,等. 我国基层医务人员工作满意度调查及影响因素分析[J]. 中国卫生质量管理,2020,27(2): 68-71. [21] 樊丹燕,戎珊珊,刘建武. 县域医共体背景下基层医疗机构检验服务能力研究[J]. 卫生经济研究,2020,37(5):31-34. |
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