甘肃省基本公共卫生服务居民获得感评价
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摘要
目的通过调查甘肃省居民对基本公共卫生服务的知晓、利用及服务满意度现状,综合评价居民对基本公共卫生服务的获得感。方法自行设计获得感调查表,采用分层抽样的方法,于2017年7月—9月,对甘肃省14个地州市基本公共卫生服务居民(3 780人)进行获得感调查。数据分析采用x~2检验、因子分析、聚类分析。结果甘肃省不同地区间基本公共卫生服务居民知晓率、满意度存在差异(χ~2=31.455、14.506,P <0.01);因子得分结果显示,重点人群服务项目知晓水平最高为(3.98±1.31)分,政策认知水平最低为(1.20±0.62)分,居民总体获得感水平一般为(3.09±0.38)分;聚类分析结果显示,老年群体(≥65岁)获得感水平最高为(FZ=3.16±0.33)分,青年群体获得感水平最低为(FZ=2.93±0.43)分。结论基本公共卫生服务居民获得感可以通过知晓率、利用率、满意度3个维度进行综合评价。不同类型人群的获得感不同,提高居民的获得感可以通过提高知晓率、利用率、满意度实现。
Objective To comprehensively evaluate the perceived acquisition of basic public health services(BPHS among residents in Gansu province. Methods We conducted a self-administered anonymous questionnaire survey among3 780 adult residents(≥18 years old) selected with stratified sampling from 14 prefectures across Gansu province between July and September 2017. A self-designed questionnaire about awareness of health knowledge, utilization of and satisfaction to BPHS was used in the survey. Chi-square test, factor analysis, and cluster analysis were used in data analyses.Results Valid information were collected from 96.93%(3 664) of the residents. There were significant differences in awareness of health knowledge(χ~2 = 31.455) and satisfaction to BPHS(χ~2 = 14.506) among the participants in different regions(both P < 0.01). Among all the participants, the average overall score for perceived acquisition of BPHS was 3.09 ±0.38 and the participants being main health care recipients were graded with the highest domain score on items of BPHS(3.98 ± 1.31) but the lowest score on cognition of BPHS-related policies(1.20 ± 0.62). The results of cluster analysis demonstrated that the elderly participants(aged≥65 years) had the highest perceived acquisition of BPHS(FZ = 3.16 ±0.33), while the young participants had the lowest(FZ = 2.93 ± 0.43). Conclusion Perceived acquisition of BPHS could assessed in three dimensions including awareness of health knowledge, utilization of and satisfaction to BPHS among residents and the perceived acquisition of BPHS is different among various adult populations in Gansu province.
Objective To comprehensively evaluate the perceived acquisition of basic public health services(BPHS among residents in Gansu province. Methods We conducted a self-administered anonymous questionnaire survey among3 780 adult residents(≥18 years old) selected with stratified sampling from 14 prefectures across Gansu province between July and September 2017. A self-designed questionnaire about awareness of health knowledge, utilization of and satisfaction to BPHS was used in the survey. Chi-square test, factor analysis, and cluster analysis were used in data analyses.Results Valid information were collected from 96.93%(3 664) of the residents. There were significant differences in awareness of health knowledge(χ~2 = 31.455) and satisfaction to BPHS(χ~2 = 14.506) among the participants in different regions(both P < 0.01). Among all the participants, the average overall score for perceived acquisition of BPHS was 3.09 ±0.38 and the participants being main health care recipients were graded with the highest domain score on items of BPHS(3.98 ± 1.31) but the lowest score on cognition of BPHS-related policies(1.20 ± 0.62). The results of cluster analysis demonstrated that the elderly participants(aged≥65 years) had the highest perceived acquisition of BPHS(FZ = 3.16 ±0.33), while the young participants had the lowest(FZ = 2.93 ± 0.43). Conclusion Perceived acquisition of BPHS could assessed in three dimensions including awareness of health knowledge, utilization of and satisfaction to BPHS among residents and the perceived acquisition of BPHS is different among various adult populations in Gansu province.
引文
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[11]欧阳晓晖.增加基层百姓的获得感[J].中国卫生,2016,6:16-17.
[2]宁艳阳,郭晓薇.基本公共卫生服务获得感是重点[J].中国卫生,2017,9:68-69.
[3]Heo M,Kim N,Faith MS.Statistical power as a function of Cronbach alpha of instrument questionnaire items[J].BMC Medical Research Methodology,2015,15(1):86.
[4]刘舜哲,丁国武,魏延萍,等.甘肃省基本公共卫生服务均等化现况分析[J].中国卫生质量管理,2014,21(5):117-120.
[5]刘辉,丁国武.甘肃省5县(区)居民基本公共卫生服务知晓度及满意度分析[J].重庆医学,2016,45(11):1539-1541.
[6]李莉,张盼,景丽伟,刘海娟,赵雅宁.农村居民公共卫生服务需求影响因素分析[J].中国公共卫生,2014,30(8):985-987.
[7]赵越.甘肃省三县基本公共卫生服务项目实施现状分析[D].兰州大学,2014
[8]齐力,姜莹莹,毛凡,等.社区慢性病防治工作现状及居民对慢性病防治的认识和需求[J].中国慢性病预防与控制,2016,24(4):279-282.
[9]崔娟,毛凡,王志会.中国老年居民多种慢性病共存状况分析[J].中国公共卫生,2016,32(1):66-69.
[10]姚宏文,石琦,李英华.我国城乡居民健康素养现状及对策[J].人口研究,2016,40(2):88-97.
[11]欧阳晓晖.增加基层百姓的获得感[J].中国卫生,2016,6:16-17.