北疆牧区农牧民对基层卫生服务的满意度调查及其影响因素研究  

Level of Satisfaction with Primary Healthcare Services and Influencing Factors in Farmers and Herdsmen in Pastoral Areas of Northern Xinjiang

作　　者：韩林俐 李新辉[1] 贾学斌 陈江芸 蒋佩[1] 吴艳辉 邓立新 Xinjiang HAN Lia - li LI Xin - hui JIA Xue - bin CHEN Jiang - yun JIANG Pei WU Yan - hui DENG Li -xin(Medical College of Shihezi University, Shihezi 832000, China The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China Xinjiang Tacheng People＇s Hospital, Tacheng 834300, China Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430000, China Cooperative Medical Management Office of Xinyuan County, Yili 835000, China Areletuobie Township Hospital, Yili 836200, China)

机构地区：[1]石河子大学医学院,新疆维吾尔自治区石河子市832000 [2]郑州大学第一附属医院,河南省郑州市450052 [3]新疆维吾尔自治区塔城市人民医院,834300 [4]华中科技大学同济医学院,湖北省武汉市430000 [5]新疆维吾尔自治区伊犁州新源县合作医疗管理办公室,835000 [6]新疆维吾尔自治区伊犁州阿勒泰地区青河县阿热勒托别乡卫生院,836200

出　　处：《中国全科医学》2017年第19期2396-2401,共6页Chinese General Practice

基　　金：2013年度国家社会科学基金项目(13XGL017)--新疆牧业地区农村基层医疗卫生服务体系可持续发展研究

摘　　要：目的了解北疆牧区农牧民对基层卫生服务的满意度情况并探讨其影响因素。方法采用典型抽样法确定伊犁哈萨克自治州新源县哈拉布拉乡、阿勒泰地区青河县阿热勒托别乡及塔城地区塔城市恰夏乡作为样本乡;再采用随机数字表法选取哈拉布拉乡3个村、阿热勒托别乡4个村及恰夏乡4个村作为样本村;最后在样本村中采用整群抽样法抽取年龄15周岁及以上的常住农牧民作为调查对象。于2014年7月—2015年8月,采用自行设计的《居民卫生服务调查表》进行问卷调查。问卷的主要内容包括:农牧民的基本情况、农牧民调查前两周内患病情况及门诊就医满意度、农牧民调查前1年内在乡镇卫生院的住院情况及住院就医满意度。共发放问卷1 621份,回收有效问卷1 615份,问卷的有效回收率为99.6%,筛选出调查前两周内在基层门诊就诊或调查前1年内在乡镇卫生院住院的农牧民的问卷,共计122份。结果农牧民对基层卫生服务的总体满意度为74.6%(91/122),其中对村卫生室服务的满意度为81.0%(17/21),对乡镇卫生院门诊服务的满意度为77.5%(55/71),对乡镇卫生院住院服务的满意度为75.0%(48/64)。农牧民对村卫生室服务满意度较高的条目主要是方便程度、服务态度、就诊环境,满意度分别为100.0%(21/21)、90.5%(19/21)、85.7%(18/21);对乡镇卫生院门诊服务满意度较高的条目主要是方便程度、就诊环境、服务态度,满意度分别为95.8%(68/71)、83.1%(59/71)、78.9%(56/71);对乡镇卫生院住院服务满意度较高的条目主要是服务态度、住院环境、技术水平,满意度分别为92.2%(59/64)、79.7%(51/64)、70.3%(45/64)。不同年龄、家庭人均年收入、家庭人均年医疗费用、到最近医疗单位的距离和时间及是否为贫困户和低保户的农牧民基层卫生服务满意度比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,家庭人均年Objective To investigate the level of satisfaction with primary healthcare services and influencing factors in farmers and herdsmen in pastoral areas of northern Xinjiang.Methods Using typical case sampling,we selected three sample towns from northern Xinjiang,Halabula Town in Xinyuan County,Yili Kazakh Autonomous Prefecture,Areletuobie Town in Qinghe County,Ataile District,and Qiaqia Town in Tacheng City,Tacheng District.Then using random number table,we selected 3 villages from Halabula Town,4 villages from Areletuobie Town,and 4 villages from Qiaqia Town as the sample villages,in which we selected 1 621 permanent farmers and herdsmen aged 15 or over as the participants by using cluster sampling.A self-developed questionnaire was employed to survey the participants from July 2014 to August 2015,which involved the demographic data,status of illness occurred within two weeks before the survey and level of satisfaction with the primary outpatient services,status of inpatient treatment receiving in the township hospital within one year before the survey and level of satisfaction with the inpatient services.The survey achieved a response rate of 99.6%（1 615/1 621）.We selected 122 cases who received primary outpatient services within two weeks before the survey or inpatient services delivered in the township hospital within one year before the survey as the final participants.Results In the 122 participants,the overall level of satisfaction with primary healthcare services was 74.6%（91/122）,specifically,the level of satisfaction with services delivered in the village clinic was 81.0%（17/21）,and that with outpatient services delivered in the township hospital was 77.5%（55/71）,and that with inpatient services delivered in the township hospital was 75.0%（48/64）.The top three advantages achieving the highest level of satisfaction of services delivered in the village clinic were convenience [100.0%（21/21） ],service attitude [90.5%（19/21） ] and consultation environment [85.7%（18/21） ],and th

关 键 词：基层卫生服务 满意度 新疆[维吾尔自治区] 农牧民 

分 类 号：R197[医药卫生—卫生事业管理]