南宁市城乡慢性非传染性疾病患者基本公共卫生服务利用情况和满意度分析  

The utilization and satisfaction of basic public health services in patients with noninfectious chronic diseases in Nanning

作　　者：周吉[1] 石健[1] 杨绍湖[1] 周芳华[1] 叶琳[1] 梁宝送[1] 江珊[1] 

机构地区：[1]南宁市疾病预防控制中心基本公共卫生服务管理科,广西530023

出　　处：《社区医学杂志》2015年第7期49-52,共4页Journal Of Community Medicine

基　　金：南宁市科技局科研课题(ZC20133003)

摘　　要：目的了解南宁市城乡慢性非传染性疾病（慢性病）患者对国家基本公共卫生服务利用情况和满意度,为实现慢性病患者规范化管理,提高慢性病患者的管理水平提供参考依据。方法 2012年1—12月随机抽取南宁市接受国家基本公共卫生服务慢性病管理满1年的慢性病（高血压、糖尿病）患者1 200例,进行问卷调查和体格检查。计量资料采用t检验;计数资料采用χ^2检验;采用非条件Logistic回归分析随访满意度的影响因素,P〈0.05为差异有统计学意义。结果城市患者接受健康讲座、入户或电话指导、到卫生服务机构咨询、接受健康教育资料的比例（60.52%、84.26%、88.70%、80.83%）高于农村患者（36.69%、36.89%、77.42%、52.82%）,差异均有统计学意义（χ^2=65.865、284.669、27.484、106.785,均P〈0.05）;城市患者在服务环境、就诊手续、医务人员服务的服务态度、医务人员服务技术的满意度（89.08%、92.25%、94.89%、83.10%）高于农村患者（45.07%、61.87%、62.93%、53.07%）,差异均有统计学意义（χ^2=142.43、131.19、157.59、137.43、157.59,均P〈0.05）;多因素Logistic回归分析结果显示,随访次数（OR=1.275,95%CI为1.063-1.530）、就诊环境（OR=2.163,95%CI为1.238-3.778）、服务态度（OR=2.703,95%CI为1.440-5.072）是随访满意度的影响因素。结论南宁市农村地区慢性病患者对基本公共卫生服务的利用低于城市,农村地区慢性病患者对基本公共卫生服务的满意度低于城市。需要加强农村地区医疗卫生机构的建设,提高服务水平。Objective To find out the comparison on utilization and satisfaction of urban and rural patients in Nanning city,and provide a reference for improving the management of patients with chronic diseases.Methods A random sample of 1 200 patients with chronic diseases was collected from January to December 2012,who had received the national basic public health services.Information was collected by questionnaires and physical examination,t-test was used for measurement data,Chi-square test was used for count data,the influence factors of satisfaction was analyzed by Logistic regression analysis and P〈0.05 was considered statistically significant.Results The ratios of urban patients of receiving health lecture,interview or telephone guidance,on-site consultation,accepting health education were 60.52%,84.26%,88.70%,80.83%,which were higher than ratios of patients in rural areas（36.69%,36.89%,77.42%,80.83%）,there were statistically significant differences（χ^2=65.865,284.669,27.484,106.785,all P〈0.05）.The satisfaction rates of urban patients about the service environment,medical procedures,service attitude and service technology of medical staff were 89.08%,92.25%,94.89% and 83.10% respectively,which were higher than rural patients（45.07%,61.87%,62.93% and 53.07%）,and the differences were significant（χ^2=142.43,131.19,157.59,137.43,157.59,all P〈0.05）.The results of Logistic regression analysis showed that follow-up times（OR=1.275,95%CI 1.063-1.530）,medical environment（OR=2.163,95%CI 1.238-3.778）,service attitude（OR=2.703,95%CI 1.440-5.072） were influence factors of follow-up satisfaction.Conclusion The basic public health services utilization to chronic disease patient from rural areas is lower than that from urban area.Rural chronic diseases patients＇ satisfaction for basic public health services is lower than urban patients.A strengthen to the construction of rural medical and health institutions is needed to improve the quality of service.

关 键 词：慢性病 基本公共卫生服务 满意度 

分 类 号：R195.4[医药卫生—卫生统计学]