浙江省居民对基本公共卫生服务项目感受度调查  

Investigation of residents’ sensitivity to basic public health service project in Zhejiang province

作　　者：徐校平[1] 杨清[1] 邱银伟[1] 赵艳荣[1] 汪炜[1] 叶驰宇[1] 尚晓鹏[1] XU Xiao-ping;YANG Qing;QIU Yin-wei;ZHAO Yan-rong;WANG Wei;YE Chi-yu;SHANG Xiao-peng(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou ,Zhejiang310051,China)

机构地区：[1]浙江省疾病预防控制中心

出　　处：《中国公共卫生管理》2018年第6期765-768,共4页Chinese Journal of Public Health Management

基　　金：浙江省医药卫生科技计划(2015ZDA008,2017KY283)

摘　　要：目的通过对浙江省居民基本公共卫生服务项目的知晓、利用情况,以及对提供服务的基层医疗机构满意情况调查,了解浙江省基本公共卫生服务项目的实施现状,为更好地开展项目工作提供依据。方法按照多阶段分层随机抽样方法,对全省8个县(市、区)内16个行政村(社区)中常住居民开展面对面问卷调查或电话访谈。结果共调查城乡居民2925人。项目总体知晓率为92.55%,不同性别、城乡、户籍、职业和医保人群对项目的知晓率差异有统计学意义(P<0.05),且随着年龄增大,知晓率呈上升趋势,差异有统计学意义(P<0.01);随着文化程度提高,知晓率呈下降趋势,差异有统计学意义(P<0.01)。居民对项目利用率为92.44%,除性别外,其他不同特征人群对项目利用率间差异均有统计学意义(P<0.05)。农村居民对乡镇基层医疗机构提供服务的便捷性、候诊时间、医生水平、医患沟通和医生态度的满意度评价均优于城市居民对社区基层医疗机构的评价,差异有统计学意义(P<0.05)。结论浙江省基本公共卫生服务项目存在整体发展不平衡的情况,各地应因地制宜,针对不同人群采取有针对性的措施,进一步完善项目工作,改善居民对基本公共卫生服务项目的感受度。Objective To study the development status of basic public health services through investigating the residents’ awareness,utilization and satisfaction of basic medical institutions in Zhejiang province,so as to provide the basis for developing basic public health services project. Methods Multistage stratified random sampling was conducted to interview survey of residents who selected from 16 administrative villages or communities of 8 counties. Results A total of 2 925 residents were selected as objects. The overall awareness rate of the basic public health services project was 92. 55%,the awareness rates of different gender,urban and rural,household registration,occupation and healthcare type had statistically significant( P < 0. 05). The awareness rate increased with age increased,the difference was statistically significant( P < 0. 01). The awareness rate decreased with the increased of cultural level,the difference was statistically significant( P < 0. 01). The utilization rate of the basic public health services project was 92. 44%. Except to the gender,the difference of utilization rates among different characteristics were statistically significant( P < 0. 05). The rural residents satisfaction of town ship primary medical institutions was better than that of urban residents of community primary medical institutions in the convenience of providing services,waiting time,doctor’s technique level,doctor-patient communication and attitude of the doctor,the difference was statistically significant( P < 0. 05). Conclusion The overall development of basic public health services is not balance in Zhejiang province. Local governments should take targeted measures to improve the projects work and enhance the residents’ sensitivity to basic public health service projects comprehensively.

关 键 词：基本公共卫生服务 知晓率 利用 满意度 

分 类 号：R917.61[医药卫生—药物分析学]