绵竹市社区卫生服务震后重建居民满意度调查及影响因素分析
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摘要
目的评估汶川地震后绵竹市社区卫生服务系统的重建情况,了解居民对社区卫生服务的满意度及其影响因素,为进一步提升社区卫生服务的满意度提供参考。方法对绵竹市卫生管理人员进行访谈和采取方便抽样的方式抽取508名绵竹城区居民用自制问卷进行现场调查,用Excel 2007软件录入数据,用SPSS 16.0软件进行统计分析。结果共发放问卷508份,收回有效问卷486份,有效回收率95.7%。统计分析结果显示:震后社区卫生服务体系重建后,486名被调查者中,健康档案建档率由震后的20.1%升至目前的43.8%;定期健康体检由震后的7.4%升至46.7%,健康教育普及率由震后的20.1%升至39.7%,慢性病监测由震后的0.9%升至35.4%,转诊服务知晓率由震后的15.7%上升至51.2%,抗灾知识宣传覆盖率由震后的33.6%升至58.6%;灾害应急演习在重建后开始开展,目前开展率为21.8%。灾后重建后,62.3%的居民首选到社区医疗卫生服务中心/社区医院就诊,社区卫生服务工作居民满意度由震后的45.4%上升为76.1%。健康体检普及率和抗灾防灾知识宣传工作开展情况是影响当前社区卫生服务居民满意度的2个因素(P<0.001,P=0.010)。结论绵竹社区卫生服务重建后的居民满意度较震前有较大提升。提高健康体检服务普及率和加大抗灾防灾知识宣传力度,将有助于当地社区卫生服务质量的进一步提高。
Objective To investigate the rebuilding status of community health service(CHS) system after Wenchuan earthquake in Mianzhu,improve service ability and provide data for better reconstruction of CHS system after natural disaster.Methods The interview was conducted with local health system officials,and self-designed questionnaire for face-to-face interview was distributed to 508 community residents in Mianzhu who were selected by convenience sampling.Data entry and statistical analysis were completed using Microsoft Office Excel 2007 and SPSS 16.0 respectively.Results A total of 508 questionnaires were distributed,and then 486 questionnaires were retrieved effectively(response rate 95.7%).The analysis on 486 respondents in CHS after rebuilding showed the rate of respondents with health files rose from 20.1% to 43.8%,the rate of having regular health check-up rose from 7.4% to 46.7%,the rate of health education rose from 20.1% to 39.7%,the rate of chronic disease monitoring rose from 0.9% to 35.4%,the rate of knowing referral pattern rose from 15.7% to 51.2%,the rate of propaganda for disaster relief rose from 33.6% to 58.6%,and the rate of doing disaster emergency response exercise was 21.8% currently.62.3% of residents chose CHS on the first visit.The satisfactory degree to CHS rose from 45.4% to 76.1% after earthquake.Both popularization of regular health check-up and propaganda for disaster relief were major factors with influence on residents' satisfaction to CHS(P<0.001,P=0.010,respectively).Conclusion The residents' satisfactory degree to the rebuilding status of CHS system is encouraging.It is necessary to strengthen the popularization of regular health check-up and propaganda for disaster relief in order to improve the quality of community health service.
Objective To investigate the rebuilding status of community health service(CHS) system after Wenchuan earthquake in Mianzhu,improve service ability and provide data for better reconstruction of CHS system after natural disaster.Methods The interview was conducted with local health system officials,and self-designed questionnaire for face-to-face interview was distributed to 508 community residents in Mianzhu who were selected by convenience sampling.Data entry and statistical analysis were completed using Microsoft Office Excel 2007 and SPSS 16.0 respectively.Results A total of 508 questionnaires were distributed,and then 486 questionnaires were retrieved effectively(response rate 95.7%).The analysis on 486 respondents in CHS after rebuilding showed the rate of respondents with health files rose from 20.1% to 43.8%,the rate of having regular health check-up rose from 7.4% to 46.7%,the rate of health education rose from 20.1% to 39.7%,the rate of chronic disease monitoring rose from 0.9% to 35.4%,the rate of knowing referral pattern rose from 15.7% to 51.2%,the rate of propaganda for disaster relief rose from 33.6% to 58.6%,and the rate of doing disaster emergency response exercise was 21.8% currently.62.3% of residents chose CHS on the first visit.The satisfactory degree to CHS rose from 45.4% to 76.1% after earthquake.Both popularization of regular health check-up and propaganda for disaster relief were major factors with influence on residents' satisfaction to CHS(P<0.001,P=0.010,respectively).Conclusion The residents' satisfactory degree to the rebuilding status of CHS system is encouraging.It is necessary to strengthen the popularization of regular health check-up and propaganda for disaster relief in order to improve the quality of community health service.
引文
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4连燕舒,范群,陈永年.南京市社区卫生服务利用情况和满意度调查.中国全科医学,2010,14(7A):2086-2088.
5沈恬,程华,陈卓君,等.上海市居民社区卫生服务利用调查及影响因素分析.上海交通大学学报(医学版).2010,3(8):944-963.
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7袁琦,闫红梅,朱清,等.北京市社区卫生服务满意度横断面调查结果分析.中国全科医学,2009,12(3A):393-395.
8章炜颖,安乾海.社区就诊患者满意度调查及影响因素分析.中国农村卫生事业管理,2008,28(5):346-348.
9史宝荣.绍兴市越城区农民免费健康体检调查与分析.社区医学杂志,2007,5(10):63-66.
2陈团.加强社区医疗卫生体系建设不断满足人民群众健康需求.中国医药指南,2008,6(3):155-156.
3陈颖欣,李雪梅,汤炎芬,等.居民对社区卫生服务的利用及满意度调查报告.中国现代医生,2010,48(3):85-86.
4连燕舒,范群,陈永年.南京市社区卫生服务利用情况和满意度调查.中国全科医学,2010,14(7A):2086-2088.
5沈恬,程华,陈卓君,等.上海市居民社区卫生服务利用调查及影响因素分析.上海交通大学学报(医学版).2010,3(8):944-963.
6段桂敏.成都市社区卫生服务患者满意度影响因素分析.社区医学杂志,2009,7(16):1-4.
7袁琦,闫红梅,朱清,等.北京市社区卫生服务满意度横断面调查结果分析.中国全科医学,2009,12(3A):393-395.
8章炜颖,安乾海.社区就诊患者满意度调查及影响因素分析.中国农村卫生事业管理,2008,28(5):346-348.
9史宝荣.绍兴市越城区农民免费健康体检调查与分析.社区医学杂志,2007,5(10):63-66.
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