沈阳慢性病患者对社区卫生服务中心评价的调查与分析
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摘要
目的:调查沈阳市慢性病患者对社区卫生服务中心服务质量的评价,了解社区卫生服务中心在哪些方面还需要加强,以便为卫计委部门制定相关政策提供有价值的依据。方法:2016年12月至2017年5月,对633例在沈阳若干社区卫生服务中心建档且年龄大于或等于18周岁的慢性病患者进行社区卫生服务中心服务质量问卷调查,得到有效问卷590份,有效率为93.2%。采用Logistic回归分析方法分析慢性病患者对社区卫生服务中心医疗服务满意度评价的影响因素。结果:排在前3位的是服务态度(86.4%)、个人付费(82.2%)与就医环境(79.9%),排在后3位的是主动讲解病情(69.8%)、主动服务(73.4%)与诊治水平(74.6%)。Logistic回归分析结果显示,慢性病患者对社区卫生服务中心服务质量的评价与职业相关(P<0.05)。结论:沈阳社区卫生服务中心医生与护士的医疗技术水平亟待提升,同时要将患者的利益放在首位,加强医患交流,从而提高患者对社区卫生服务中心的满意度。
Objective: To investigate the service quality of chronic disease patients in Shenyang community health service center, and to know what aspects of community health service need to be strengthened, so as to provide valuable evidence for relevant policies of the health planning commission. Methods:From December 2016 to May 2017, a questionnaire survey about service quality of community health service centers was carried out on 633 Patients with chronic diseases equal to or above 18 years old of some community health service centers in Shenyang.590 valid questionnaires were obtained, with an effective rate of 93.2%. Logistic regression analysis was used to analyze the satisfaction evaluation influencing factors of chronic disease patients on medical service of community health service centers.Results:The top 3 were service attitude(86.4%), personal payment(82.2%) and medical environment(79.9%).The last 3 patients were actively explaining the condition(69.8%), active service(73.4%) and diagnosis and treatment level(74.6%). The results of Logistic regression analysis showed that the service quality evaluation of chronic diseases patients on community health service center was related to the occupation of the chronic disease patients(P < 0.05). Conclusion:The medical technology level of doctors and nurses in Shenyang community health service center needs to be improved. At the same time, the interests of patients should be put in the first place, and communication between doctors and patients should be strengthened, so as to improve patients' satisfaction with community health service centers.
Objective: To investigate the service quality of chronic disease patients in Shenyang community health service center, and to know what aspects of community health service need to be strengthened, so as to provide valuable evidence for relevant policies of the health planning commission. Methods:From December 2016 to May 2017, a questionnaire survey about service quality of community health service centers was carried out on 633 Patients with chronic diseases equal to or above 18 years old of some community health service centers in Shenyang.590 valid questionnaires were obtained, with an effective rate of 93.2%. Logistic regression analysis was used to analyze the satisfaction evaluation influencing factors of chronic disease patients on medical service of community health service centers.Results:The top 3 were service attitude(86.4%), personal payment(82.2%) and medical environment(79.9%).The last 3 patients were actively explaining the condition(69.8%), active service(73.4%) and diagnosis and treatment level(74.6%). The results of Logistic regression analysis showed that the service quality evaluation of chronic diseases patients on community health service center was related to the occupation of the chronic disease patients(P < 0.05). Conclusion:The medical technology level of doctors and nurses in Shenyang community health service center needs to be improved. At the same time, the interests of patients should be put in the first place, and communication between doctors and patients should be strengthened, so as to improve patients' satisfaction with community health service centers.
引文
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[2]尹志勤,陈丽莉,涂海霞,等.浙江省农村老年人社区卫生服务的需求意愿及满意度调查[J].中国老年学杂志,2013,33(4):899-900.
[3]常文红,陈长香.河北省老年慢性病居民就医用药情况及满意度调查[J].护理研究,2016,31(1):22-26.
[4]陈超.城市社区卫生服务中心患者满意度调查[J].社区医学杂志,2013,11(10):52-54.
[5]郭俊英,陈静静,晏志军,等.浅谈巡诊服务模式在京北山区社区卫生服务中的应用[J].中华全科医学,2016,14(5):802-804.
[6]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.
[7]王宁.分级诊疗体系构建求索[J].中国医院院长,2014,9(6):39-41.
[8]王晓易.分级诊疗后,居民如何看病?[N].南方日报,2016-5-30(3).
[9]宋露露,周鑫,张邢炜.杭州市拱墅区患者对双向转诊的认知与满意度调查研究[J].中国农村卫生事业管理,2016,36(3):317-319.
[10]李菲.我国医疗服务分级诊疗的具体路径及实践程度分析[J].中州学刊,2014,37(11):90-95.