|
|
Satisfaction of Hangzhou residents with primary health care servicesand its influencing factors |
XU Xin*, WANG Dina, WANG Daosen, YU Linjie, DAI Weifang, YE Huaizhuang, WU Xifeng, LI Xiuyang
|
*Public Health Department, Medical School, Zhejiang University, Hangzhou, Zhejiang 310058, China |
|
|
Abstract Objective To understand the satisfaction of the residents in Hangzhou with primary health care services and its influencing factors, so as to provide basis for improving the quality of primary health care services. Methods This study adopted multi-stage stratified random sampling method to recruit the residents aged 14 years or over in Hangzhou from July to September, 2019. A self-designed electronic questionnaire for primary health care services in Hangzhou was used to collect the demographic information, the utilization of primary health care institutions, the scores of the indicators of primary health care services and the satisfaction. The ordinal and multinomial logistic regression model was conducted to analyze the influencing factors for the satisfaction with primary health care services. Results Totally 1 600 questionnaires were issued, 1 454 valid ones were collected, and the response rate was 90.88%. Five ( 0.34% ) residents were very dissatisfied, 16 ( 1.10% ) residents were dissatisfied, 153 ( 10.52% ) residents were generally satisfied, 780 ( 53.65% ) residents were satisfied, and 500 ( 34.39% ) residents were very satisfied with primary health care services. The ordinal and multinomial logistic regression analysis showed that basic medical insurance for urban employees ( OR=0.514, 95%CI: 0.370-0.714 ) , no health records in primary health institutions ( OR=0.528, 95%CI: 0.331-0.844 ) or unknown ( OR=0.524, 95%CI: 0.331-0.829 ) , the queuing time spent for getting medicines ( OR=0.698, 95%CI: 0.531-0.917 ) , ways of getting medicines (OR=0.639, 95%CI: 0.452-0.903 ) and completeness of testing equipment ( OR=1.315, 95%CI: 1.012-1.710) were influencing factors for the satisfaction with primary health care services. Conclusions The residents in Hangzhou are generally satisfied with the primary health care services, which are associated with the type of medical insurance, the condition of health records in primary institutions, the queuing time spent for getting medicines, the ways of getting medicines and the completeness of inspection equipment.
|
Received: 07 April 2020
Revised: 05 June 2020
Published: 30 September 2020
|
|
|
|
|
[1] 马小利,戴明锋.新医改背景下我国分级诊疗实践及问题分析[J].中国医院管理,2017,37(10):22-24. [2] 牛亚冬,张研,叶婷,等.我国基层医疗卫生机构医疗服务能力发展与现状[J].中国医院管理,2018,38(6):35-37,41. [3] 陈雪琴,柯攀,姜峰波,等.医疗服务患者满意度研究进展[J].中国社会医学杂志,2020,37(1):9-11. [4] 张靓,董恒进,郜琳,等.居民就诊意愿与基层医疗服务能力研究——以浙江兰溪为例[J].卫生经济研究,2016(8):19-22. [5] 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. [6] 徐校平,杨清,邱银伟,等.浙江省居民对基本公共卫生服务项目感受度调查[J].中国公共卫生管理,2018,34(6):765-768. [7] 任礼,衡文萍.秩和比的Excel计算程序及其应用[J].浙江预防医学,2015,27(7):716-718,743. [8] 杭州市统计局.杭州统计年鉴[M].北京:中国统计出版社,2017. [9] 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. [10] 中国劳动和社会保障部.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,2015. [11] 张虎,田茂峰.信度分析在调查问卷设计中的应用[J].统计与决策,2007(21):25-27. [12] 陈珊珊,郑春勇.城市居民对社区卫生服务的满意度及其影响因素研究——基于浙江省11个地市的调查分析[J].城市,2016(1):66-70. [13] 王荣英,张金佳,赵稳稳,等.石家庄市社区居民对社区卫生服务的满意度及家庭医生签约现状调查[J].中国全科医学,2018,21(31):3896-3900. [14] 樊宏,尤华,陆慧,等.南京市社区卫生服务利用者总体满意度及其影响因素分析[J].中国全科医学,2014,17(22):2584-2589. [15] 邹慕蓉,练璐,陈家应,等.居民对分级诊疗的接受度与期望研究[J].卫生经济研究,2020,37(4):37-40. [16] 徐玮. 围绕保基本织密网实基层建机制——以杭州医保为例[J].中国医疗保险,2019(4):39-41. [17] 张琪,王德永.医疗服务满意度影响因素实证研究[J].卫生经济研究,2019,36(7):63-66. [18] 于芳,徐玉梅,杨萍.新医改视域下山东省基层医院患者满意度及影响因素调查与分析[J].中国医学伦理学,2015,28(1):53-56. [19] 陈东明,王彦杰,田庆丰.河南省城乡居民基本公共卫生服务利用现状及满意度调查分析[J/OL].中国公共卫生(2019-12-24)[2020-06-05]. http://www.zgggws.com/cn/article/doi/10.11847/zgggws1123859. [20] 谢学勤,代晓彤,康晓平,等.北京市居民对各级医疗卫生机构满意度调查分析[J].中国卫生政策研究,2016,9(8):44-48. |
|
|
|