什邡市社区卫生服务居民满意度调查
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摘要
目的调查什邡市社区卫生服务系统建设情况以及社区卫生服务居民满意度和震后灾害应急能力,以期为社区卫生服务体系建设和重大自然灾害应急能力建设提供参考。方法采用方便抽样的方法,抽取什邡市方亭镇社区卫生服务中心辖区内4‰的社区居民,以面对面访谈的方式进行问卷调查。分类资料的构成比统计采用频数分析,居民社区卫生服务满意度的影响因素采用二分类logistic回归分析。结果共发放问卷250份,收回有效问卷246份(有效回收率98.4%)。社区卫生服务的居民了解度和满意度分别为41.1%和36.6%。健康教育、医疗费用和医疗保险是影响社区卫生服务居民满意度的主要因素(其P值分别为0.050、0.001和0.001)。社区卫生服务机构对居民进行抗灾/防灾知识教育、灾害应急预案演习以及灾后心理干预和康复治疗的比例分别为37.4%、10.6%和12.6%。结论加强社区卫生服务宣传力度,可提高居民对社区卫生服务的了解度和参与度;加强健康教育、提高社区卫生服务质量,控制服务费用、引进医疗保险报销机制,能进一步提高居民满意度;将灾害应急工作纳入基本工作任务,加强应急能力,能为居民健康提供保障。
Objective To investigate the construction and services of the community health service system in Shifang,as well as the satisfaction of community residents with the community health services and the post-disaster emergency response capability of the community hospital,so as to provide decision-making suggestions on better reconstruction of the community health service system and improvement of its post-disaster emergency response capability.Methods There were 4‰ of community residents in Fangting town were selected by convenience sampling for a face-to-face interview using a questionnaire.Logistic regression was used to identify the influencing factors of residents' satisfaction with community health services.Results A total of 250 questionnaires were conducted for face-to-face interviews,and 246 ones were retrieved(response rate 98.4%).Residents' understanding and satisfactory degree of the community health service were 41.1% and 36.6%,respectively.Health education,medical expenses and medical insurance were the main factors influencing the residents' satisfactory degree of community health services(P=0.050,0.001,and 0.001).The proportions of disaster / disaster prevention education,exercises of post-disaster contingency plans,and psychological intervention as well as rehabilitation for residents were 37.4%,10.6%,and 12.6%,respectively.Conclusion Community health services have not been widely accepted by community residents,and the satisfactory degree is low.The residents' understanding and adaptation can be improved by strengthening the community health service propaganda.Strengthening health education,improving the quality of services,controlling costs,and introducing medical insurance reimbursement mechanism can increase the residents' satisfactory degree.Including disaster emergencies into basic tasks can strengthen the emergency response capability and then provide guarantee for the residents' health.
Objective To investigate the construction and services of the community health service system in Shifang,as well as the satisfaction of community residents with the community health services and the post-disaster emergency response capability of the community hospital,so as to provide decision-making suggestions on better reconstruction of the community health service system and improvement of its post-disaster emergency response capability.Methods There were 4‰ of community residents in Fangting town were selected by convenience sampling for a face-to-face interview using a questionnaire.Logistic regression was used to identify the influencing factors of residents' satisfaction with community health services.Results A total of 250 questionnaires were conducted for face-to-face interviews,and 246 ones were retrieved(response rate 98.4%).Residents' understanding and satisfactory degree of the community health service were 41.1% and 36.6%,respectively.Health education,medical expenses and medical insurance were the main factors influencing the residents' satisfactory degree of community health services(P=0.050,0.001,and 0.001).The proportions of disaster / disaster prevention education,exercises of post-disaster contingency plans,and psychological intervention as well as rehabilitation for residents were 37.4%,10.6%,and 12.6%,respectively.Conclusion Community health services have not been widely accepted by community residents,and the satisfactory degree is low.The residents' understanding and adaptation can be improved by strengthening the community health service propaganda.Strengthening health education,improving the quality of services,controlling costs,and introducing medical insurance reimbursement mechanism can increase the residents' satisfactory degree.Including disaster emergencies into basic tasks can strengthen the emergency response capability and then provide guarantee for the residents' health.
引文
1国务院关于发展城市社区卫生服务的指导意见.中国全科医学,2007,10(3):240-241.
2施咏梅.“三位一体”社区医疗服务模式初探.中国医院,1999,3(5):32-34.
3刘潇.“四一三”健康保险模式应用于社区医疗的可行性.卫生经济研究,2007,12:20-21.
4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.
5郑德有.城市大中型医院开展社区医疗工作探讨.中国初级卫生保健,1993,7(5):30-32.
6胡皖玲.开展社区医疗服务的思考与建议.社区医学杂志,2007,5(20):4-6.
7 Paul CL,Kedman S.A review of the e ectiveness of print material in change health-related know ledge,attitudes and behavior.Heal Promot J Austr,1997,7(2):91.
8王高玲.卫生服务需求与发展社区卫生服务的关系研究.现代预防医学,2008,35(5):886-889.
9王晓红.论社区医疗卫生服务与全科医学.中国初级卫生保健,2007,21(8):18-19.
10王根贤.关于构建社区医疗卫生组织的深层次思考.地方财政研究,2007,(10):4-8.
2施咏梅.“三位一体”社区医疗服务模式初探.中国医院,1999,3(5):32-34.
3刘潇.“四一三”健康保险模式应用于社区医疗的可行性.卫生经济研究,2007,12:20-21.
4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.
5郑德有.城市大中型医院开展社区医疗工作探讨.中国初级卫生保健,1993,7(5):30-32.
6胡皖玲.开展社区医疗服务的思考与建议.社区医学杂志,2007,5(20):4-6.
7 Paul CL,Kedman S.A review of the e ectiveness of print material in change health-related know ledge,attitudes and behavior.Heal Promot J Austr,1997,7(2):91.
8王高玲.卫生服务需求与发展社区卫生服务的关系研究.现代预防医学,2008,35(5):886-889.
9王晓红.论社区医疗卫生服务与全科医学.中国初级卫生保健,2007,21(8):18-19.
10王根贤.关于构建社区医疗卫生组织的深层次思考.地方财政研究,2007,(10):4-8.
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