成都市某区老年人社区卫生服务满意度调查  

Investigation on the satisfaction of community health service among elderly population in a district in Chengdu

作　　者：李扬萩[1] 张敏[1] 孙丁[1] LI Yang-qiu, ZHANG Min, SUN Ding(School of Humanities Information Management, Chengdu Medical College, Chengdu, Sichuan 610500, Chin)

机构地区：[1]成都医学院人文信息管理学院,四川成都610500

出　　处：《中华全科医学》2018年第4期597-599,共3页Chinese Journal of General Practice

基　　金：四川省教育厅项目(15SB0133);四川省基层卫生事业发展研究中心项目(SWFZ15-Y-13)

摘　　要：目的调查成都市某区老年人对社区卫生服务的满意度现状,了解现有社区卫生服务中存在的不足,并分析患者满意度的影响因素,为进一步完善社区卫生服务提供依据。方法使用自制调查问卷,于2016年6—12月对在成都市某区的全部14家社区卫生服务中心已建档的60岁以上老年人,采用随机数字表法抽取910人进行面对面问卷调查,收回有效问卷864份,有效回收率为94.9%。采用Epidata 3.1数据库录入,使用SPSS 20.0统计分析软件进行数据分析,运用描述性统计分析、单因素方差分析、t检验分析老年人满意度现状和影响满意度的因素。结果老年人对社区卫生服务总体满意度为78.4%,各条目满意度从高到低依次是服务态度(95.2%)、解释交流(89.5%)、候诊时间(86.1%)、就医环境(84.9%)、服务价格(76.8%)、技术水平(75.7%)、医疗设备(74.4%)。影响社区卫生服务满意度的主要因素是年龄、婚姻状况、是否患慢性病、医疗保障类型、自评健康状况、自评经济状况等因素。结论老年人对社区卫生服务的总体满意度较高,但也存在薄弱环节,应从相关影响因素入手,采取相应措施,提高老年人对社区卫生服务的满意度。Objective To investigate the satisfaction of community health service among community elderly population in a district in Chengdu, to find out the existing deficiencies and to analyze the influencing factors of the satisfaction, thus to provide a basis for further improvement of community health services. Methods Via self-made questionnaire, a total of 910 elderly clients above 60 years who had portfolio in all the 14 community health service centers in a district in Chengdu from June to December 2016 were randomly selected to conduct the face-to-face investigation. And 864 questionnaires were recovered, with an effective recovery rate of 94.4%. The date was logged by Epidata 3. 1 and analyzed by SPSS 20.0. Descriptive statistical analysis, ANOVA, and T test were used to analyze satisfaction and influencing factors of the satisfaction of community health service. Results The overall satisfaction rate of community health service was 78.4%, and the satisfaction degree of each item from high to low was service attitude （95.2%）, explanation and communication （89.5%）, queuing time （86.1%）, medical treatment （84.9%）, service price （76.8%）, technical level （75.7%）, and medical equipment （74.4%）. The main factors that affect the satisfaction of community health service are age, ma- rital status, whether suffering from chronic diseases, medical insurance type, self-assessment of health status, self-as- sessment of economic conditions and other factors. Conclusion The overall satisfaction of community health services is high in the elderly, but there are also weak links. To start with relevant influencing factors, we can take corresponding measures to improve the satisfaction of the elderly on the community health service.

关 键 词：老年人 社区卫生服务 满意度 

分 类 号：R197.61[医药卫生—卫生事业管理] R161.7[医药卫生—公共卫生与预防医学]