海口市居民对基本公共卫生服务项目知晓率和满意度调查
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摘要
目的了解海口市居民对国家基本公共卫生服务的知晓情况及服务满意度,分析原因,为均等化服务提供依据。方法采用分层随机抽样的方法,抽取海口市居民872人,以电话调查的方式对其进行知晓率和服务满意度调查,采用χ~2检验、Logistic回归等方法进行统计分析。结果海口市居民对基本公共卫生服务项目总体知晓率为74.71%,城市居民高于农村居民(χ~2=4.928,P<0.05),重点人群高于非重点人群,其中孕产妇知晓率最高(χ~2=121.939,P<0.01)。海口市居民对基本公共卫生服务项目总体满意度为76.37%,各行政区居民满意度之间差异有统计学意义(χ~2=21.560,P<0.01),城市居民高于农村居民(χ~2=10.404,P<0.01)。多因素分析结果显示,不同人群类型及城乡对知晓率及满意度均有影响。结论海口市居民对基本公共卫生服务项目总体知晓率和服务满意度均不高,尤其是城乡差异较大,应进一步加大宣传力度,提升服务质量,提高居民的认知水平和满意度。
Objective To understand the awareness and satisfaction of Haikou residents on the basic public health services,analyze the reasons and provide the basis for equalization service.Methods Eight hundred and seventy-two residents in Haikou city were randomly selected by stratified random sampling,and their awareness rate and service satisfaction were investigated by telephone survey.Chi-square test and logistic regression were used for statistical analysis.Results The overall awareness rate of Haikou residents on basic public health services was 74.71 %,and the awareness rate of urban residents was higher than that of rural residents(χ~2=4.928,P<0.05).The awareness rate of key groups was higher than that of non-key groups,and the satisfaction rate of pregnant and lying-in women was the highest(χ~2=121.939,P<0.01).Haikou residents' overall satisfaction with basic public health services was 76.37 %,with differences(χ~2=21.560,P<0.01) among different administrative regions,and urban residents' satisfaction was higher than rural residents(χ~2=10.404,P<0.01).The results of multi-factor analysis showed that population types and urban and rural areas had an impact on the awareness rate and satisfaction.Conclusion The overall awareness rate and service satisfaction of Haikou residents on the basic public health service items are not high,especially the difference between urban and rural areas is significant.So more publicity efforts should be made to improve the service quality and improve residents' cognitive level and satisfaction.
Objective To understand the awareness and satisfaction of Haikou residents on the basic public health services,analyze the reasons and provide the basis for equalization service.Methods Eight hundred and seventy-two residents in Haikou city were randomly selected by stratified random sampling,and their awareness rate and service satisfaction were investigated by telephone survey.Chi-square test and logistic regression were used for statistical analysis.Results The overall awareness rate of Haikou residents on basic public health services was 74.71 %,and the awareness rate of urban residents was higher than that of rural residents(χ~2=4.928,P<0.05).The awareness rate of key groups was higher than that of non-key groups,and the satisfaction rate of pregnant and lying-in women was the highest(χ~2=121.939,P<0.01).Haikou residents' overall satisfaction with basic public health services was 76.37 %,with differences(χ~2=21.560,P<0.01) among different administrative regions,and urban residents' satisfaction was higher than rural residents(χ~2=10.404,P<0.01).The results of multi-factor analysis showed that population types and urban and rural areas had an impact on the awareness rate and satisfaction.Conclusion The overall awareness rate and service satisfaction of Haikou residents on the basic public health service items are not high,especially the difference between urban and rural areas is significant.So more publicity efforts should be made to improve the service quality and improve residents' cognitive level and satisfaction.
引文
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[2] 郝爱华,王晔,许淼杰,等.广东省基本公共卫生服务项目实施现状、问题及对策[J].中国公共卫生管理,2017,33(6):750-756.
[3] 高生堂.宁夏南部贫困县实施国家基本公共卫生服务项目做法和体会[J].中国公共卫生管理,2013,29(2):160-164.
[4] 成晓娇,杨小丽,孙亚梅,等.基于“温岭杀医案”的医患关系暴力倾向现象多维探析[J].中国全科医学,2014,17(19):2273-2276.
[5] 尚晓鹏,汪炜,邱银伟,等.浙江省城乡居民对基本公共卫生服务项目知晓率调查[J].浙江预防医学,2016,28(1):93-95,101.
[6] 谭雄燕,江芹,吴彩媛,等.广西三城市基层医疗卫生机构就诊患者对基本公共卫生服务项目的知晓度分析[J].中国全科医学,2016,14(3):438-440.
[7] 农初师,周吉,杨绍湖,等.南宁市城乡居民基本公共卫生服务相关知识知晓率调查分析[J].中国卫生产业,2017,14(2):175-176,185.
[8] 刘辉.2014年甘肃省基本公共卫生服务实施状况及满意度分析[D].兰州:兰州大学,2016.
[9] 尚晓鹏,汪炜,邱银伟,等.浙江居民基本公共卫生服务项目满意度调查[J].中国公共卫生管理,2015,31(6):912-914.
[10] 朱敏,王萱萱,康琦,等.安徽省阜阳市农村乡镇卫生机构卫生服务质量现状分析[J].中国卫生政策研究,2014,7(1):45-50.
[11] 金铭.宁夏三县区基本公共卫生服务均等化实施现状及效果研究[D].济南:山东大学,2013.
[12] 朱晓丽.基本公共卫生服务均等化的实施进展和对策研究[D].北京:北京协和医学院,2011.
[13] 何海菠,魏玉华,张国华.基本公共卫生服务项目工作存在的问题与对策[J].中国公共卫生管理,2012,28(5):569-570.