基于患者视角的公立医疗机构公益性评价  

Analysis on social responsibility evaluation of public medical institutions based on patients’perspective

作　　者：谷茜[1] 胡献之[1] 梁斐[1] 刘文彬[1] 邓伟[1] 董斌[2] 赵列宾[2] 庞伟明[3] 陈英耀[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海交通大学医学院,上海200025 [3]加拿大劳伦森大学乡镇和北部卫生服务研究、所北安大略省医学、院加拿大安大略省西比利市P3E2C6

出　　处：《中国卫生政策研究》2012年第12期8-12,共5页Chinese Journal of Health Policy

基　　金：国家自然科学基金(70973025)

摘　　要：目的:分析患者对医疗机构公益性的评价,探讨医疗机构公益性评价的影响因素。方法:抽取3个省份48家医疗机构调查5760名病人,采用描述性方法分析患者的基本特征和公益性评价结果,以logistic回归方法进行多因素分析。结果:患者对公立医疗机构公益性的总体满意率为82.4%。公立医疗机构公益性评价的影响因素包括整体环境、就诊流程、就诊费用、义诊次数、适度检查、合理处方、经济困难病人先诊疗后收费、医保和自费病人平等对待、就诊医院级别和医院所在地区等。结论:患者对公立医疗机构的整体公益性评价较高。医疗机构整体环境、就医流程、服务适宜性以及公平性可作为医疗机构公益性进一步改善的切入点。Objective： This research is to analyse patients＇ social responsibility evaluation results of health in- stitutions and to discuss the evaluation influencing factors. Method： 5 760 patients in 48 public medical institutions were surveyed in three provinces. It described the survey samples＇ basic situation and the results of social responsi- bility evaluation. Logistic regression was used to analyse the influencing factors of social responsibility evaluation. Result ： The main patients＇ satisfactory rate of social responsibility was 82. 4%. The influencing factors of social re- sponsibility evaluation were including environment, medical procedure, cost, user free services, appropriate exami- nation, reasonable prescription, diagnosis and treat without payment for poor patients, equal entitlement for patients with or without insurance, hospital level and hospital location. Conclusion： The patients＇ evaluation of social respon- sibility is relatively good. The environment, medical procedure, medical service appropriateness and equity could be the entry point of improving social responsibility.

关 键 词：公益性 评价 医疗机构 患者 

分 类 号：R197[医药卫生—卫生事业管理]