基于TOPSIS法的四川省市级城市基层公共卫生服务中社区居民感受度的横断面调查  

TOPSIS-based investigation of residents’ sensitivity to basic public health services in Sichuan province: a cross-sectional survey

作　　者：关旭静[1] 唐雪峰[1] 金必辉[1] 付清培[1] 桑振修[1] 毛会 吴先萍[1] GUAN Xujing;TANG Xuefeng;JING Bihui;FU Qingpei;SANG Zhenxiu;MAO Hui;WU Xianping(Sichuan Provincial Center for Disease Control and Prevention,Chengdu 610041,P.R.China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《中国循证医学杂志》2020年第5期525-530,共6页Chinese Journal of Evidence-based Medicine

基　　金：四川省卫生健康委科研课题项目(编号:19PJ108)。

摘　　要：目的了解四川省市级城市基层公共卫生服务中心社区居民感受度,为进一步加强薄弱地区措施提供参考。方法采用分层系统抽样法,借助四川省基本公共卫生服务监管平台,在21个市级的五类重点人群档案中分别等距抽取40份,即每个市级抽取200人作为调查对象。采用电话调查方法,调查居民知晓率、满意度、依从性,应用TOPSIS法综合评价四川省市级城市基层公共卫生服务中社区居民感受度,并通过聚类分档进行评价。结果共调查接受过基层医疗卫生机构健康管理的社区居民4 200人。四川省基层公共卫生服务社区居民服务知晓率为76.31%,健康知识知晓率为69.45%,服务便利性的满意率为69.42%,技术水平的满意率为67.96%,服务态度的满意率为69.74%,服务对改善健康的满意率为69.13%,继续接受服务的意愿率为68.17%,健康生活方式建议依从率为68.31%,服药依从率为85.14%。21个市级的Cj值平均为0.523 6,序号4的市级Cj值最高为0.751 9,序号10的市级Cj值最低为0.276 3。对评价结果进行聚类分档结果显示,不同档次间差异均无统计学意义。结论四川省21个市级基层公共卫生服务中心社区居民感受度各不相同。应加强对薄弱地区的措施,缩小各市级城市间的差距,切实提高社区居民的感受度。Objectives To investigate residents’ sensitivity towards basic public health services in Sichuan province, so as to provide advice on future improvement. Methods Using multistage stratified sampling and through consultation of the Sichuan province’s basic public health service regulatory platform to select 40 equidistant samples from the five key population groups. Specifically, 200 individuals from each of the 21 cities were enrolled. Telephone survey was conducted to acquire residents’ awareness rate, satisfaction and compliance. Technique for order preference by similarity to an ideal solution(TOPSIS) was applied to comprehensively evaluate residents’ sensitivity of basic public health services. Results A total of 4 200 community residents who have accepted health managements in basic health care institutions were enrolled. The mean Cj value was 0.523 6. The No.4 city had the highest Cj value of 0.751 9,and the No.10 city had the lowest value of 0.276 3. Conclusions The residents’ sensitivity to basic public health services varies in 21 cities of Sichuan province. We should improve the quality of medical services in primary health care institutions and provide wide publicity to enhance the well-being and satisfaction of community residents.Government should improve the quality of medical services in primary health care institutions, and narrow the gap between different cities, so as to improve residents’ experience.

关 键 词：基层医疗卫生机构 TOPSIS法 感受度 横断面调查 

分 类 号：R197.1[医药卫生—卫生事业管理]