昆明市西山区参合农民对定点医疗机构服务质量的评价  

Evaluation of service quality of new-style rural cooperative medical authorized institutions In Xishan county

作　　者：喻箴[1] 姜润生[1] 罗家洪[1] 毛勇[1] 

机构地区：[1]昆明医学院,云南昆明650031

出　　处：《中国农村卫生事业管理》2009年第10期723-725,共3页Chinese Rural Health Service Administration

基　　金：云南省自然科学基金项目(2004C0045M);昆明市卫生局科研基金项目(200605)

摘　　要：目的:探讨参合农民对新农合定点医疗机构服务质量的评价情况,为改进其服务质量提供科学依据。方法:2007年1月采用分层抽样和单纯随机抽样相结合,以问卷方式调查了506名昆明市西山区参合农民对新农合定点医疗机构服务质量的意见和建议。结果:参合农民选择县乡级医院门诊就诊的比例低于省市级医院;县级医院收费比乡镇卫生院高;山区和半山区的农民认为县乡村级医疗机构交通不方便;村卫生室的设备陈旧。结论:西山区县乡级医疗机构布局存在不合理现象;加强对县级医院医疗行为的监管,避免产生不必要的医疗费用;政府应增加对村卫生室的投入。Objective To know farmers＇evaluation of the service quality of new--style rural cooperative medical authorized institutions （NCMI） of Xishan county so as to give advice for health policy decision- making of government. Methods 506 farmers of Xishan county were investigated with stratified sampling and simple random sampling. Their opinions about the service quality of NCMI have been investigated by questionnaire. ResultsThe farmers preferred to be diagnosed in province level hospitals rather than county level hospitals. Many peasants thought that county level hospital＇s fee for service was expensive. Farmers who lived in mountain areas generally thought it inconvenient to go to county hospitals. The equipment was out--of--date in village clinics. Conclusions The distribution of authorized medical institutions is unreasonable in Xishan county. Government should supervise the action of medical treatment. The input should be increased in village clinics by the government.

关 键 词：新型农村合作医疗 定点医疗机构 质量评价 

分 类 号：R197.1[医药卫生—卫生事业管理]