基于因子分析法山东省城乡居民中医药服务满意度现状及其影响因素分析  

Satisfaction to traditional Chinese medicine service and its influencing factors among urban and rural residents in Shandong province: a factor analysis

作　　者：王丽君 鲁志鸿[1] 郭栋[1] 王颖[1] 李友卫 王成岗[1] 褚志杰 庄严[1,2] WANG Li-jun;LU Zhi-hong;GUO Dong(Shandong University of Traditional Chinese Medicine,Ji'nan,Shandong Province 250000,China)

机构地区：[1]山东中医药大学,山东济南250000 [2]山东中医药大学附属医院

出　　处：《中国公共卫生》2020年第2期232-235,共4页Chinese Journal of Public Health

基　　金：山东省社科规划研究(19BJCJ24);山东中医药大学优秀青年科学基金(2018sk13);国家中医药管理局委托课题(ZY-2016-11)。

摘　　要：目的了解山东省城乡居民中医药服务满意度现状及其影响因素,为山东省中医药事业更好地服务居民健康提供科学依据。方法于2017年1月采用分层随机抽样方法在山东省17个地市抽取2 965名城乡居民进行问卷调查,采用因子分析法评价山东省城乡居民对中医药服务的满意度,并应用多因素非条件logistic回归模型分析城乡居民中医药服务满意度的影响因素。结果山东省城乡居民对中医药服务技术力量、服务项目、药品种类、治疗费用、服务态度、报销比例、等待时间和治疗效果指标得分分别为(3.64±0.95)、(3.58±0.92)、(3.78±0.96)、(3.31±1.04)、(3.66±0.94)、(3.20±1.11)、(3.30±1.05)和(1.45±0.79)分;因子分析结果显示,共提取出中医药服务能力提供因子和中医药服务费用及时间因子2个公因子,累计方差贡献率为55.013%;中医药服务提供能力因子平均分居于前3位的地市依次为东营(0.874分)、潍坊(0.699分)和枣庄(0.663分),中医药服务费用及时间因子平均分居于前3位的地市依次为日照(1.405分)、临沂(0.383分)和德州(0.234分),综合平均分居于前3位的地市依次为日照(0.245分)、东营(0.210分)和潍坊(0.185分);山东省2 965名城乡居民中,对中医药服务满意者1 431人,中医药服务满意率为48.26%;多因素非条件logistic回归分析结果显示,所在社区(镇)医疗机构中有中医药服务的山东省城乡居民对中医药服务满意度较高,家庭年均收入≥10 000元的山东省城乡居民对中医药服务满意度较低。结论山东省城乡居民对中医药服务满意率较低,家庭年均收入和所在社区(镇)医疗机构有无中医药服务是山东省城乡居民中医药服务满意度的主要影响因素。Objective To examine the satisfaction to traditional Chinese medicine(TCM) services and its influencing factors among urban and rural residents in Shandong province and to provide evidences for promoting TCM services in the province. Methods We conducted a face-to-face interview with a self-designed questionnaire among 2 965 urban and rural residents recruited with stratified random sampling in 17 prefectures across Shandong province in January 2017. Factor analysis was used to evaluate the satisfaction to TCM services and unconditional multivariate logistic regression model was adopted to analyze influencing factors of the satisfaction among the participants. Results The participants′ scores of satisfaction to TCM services were 3.64 ± 0.95 for medical technology, 3.58 ± 0.92 for service items, 3.78 ± 0.96 for types of medicine, 3.31 ± 1.04 for treatment expense, 3.66 ± 0.94 for service attitude, 3.20 ± 1.11 for reimbursement rate, 3.30 ± 1.05 for waiting time, and 1.45 ± 0.79 for treatment effect, respectively. Factor analysis revealed actual medical service capability and medication expense being the two common factors for TCM service which contributed a cumulative variance of 55.01%.The top three prefecture-specific mean score of actual TCM service capability were 0.874, 0.699 and 0.663;the top three prefecture-specific mean score of TCM medication expense were 1.405, 0.383 and 0.234 points;the top three prefecturespecific mean overall score of TCM service were 0.245, 0.210 and 0.185 points. Of all the participants, 48.33%(1 431)reported the satisfaction to TCM services. The results of logistic regression analysis demonstrated that the participants living in regions with township hospitals or community health centers providing TCM service were more likely to report the satisfaction to TCM service;while, the participants with a annual household income of ≥ 10 000 RMB yuan per capita were less likely to report the satisfaction to TCM service. Conclusion The satisfaction to TCM service is at a relativ

关 键 词：中医药服务 满意度 影响因素 城乡居民 因子分析法 

分 类 号：R193[医药卫生—卫生事业管理]