滇西贫困山区公共卫生服务能力的满意度现状  

Satisfaction Status of Public Health Service Capacity in Poor Mountainous Area of Western Yunnan

作　　者：张国庆 周佳[2] 颜芮 张冰 李琳蓉 李丽 潘颖 ZHANG Guo-qing;ZHOU Jia;YAN Rui;ZHANG Bing;LI Lin-rong;LI Li;PAN Ying(School of Public Health,Kunming Medical University,Kunming Yunnan 650500;Party Committee Office,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101;School of Basic Medicine,Kunming Medical University,Kunming Yunnan 650500,China)

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]昆明医科大学第二附属医院党委办公室,云南昆明650101 [3]昆明医科大学基础医学院,云南昆明650500

出　　处：《昆明医科大学学报》2021年第8期60-64,共5页Journal of Kunming Medical University

基　　金：云南省哲学社会科学研究基地课题基金资助项目(42017032)。

摘　　要：目的调查滇西贫困山区医疗机构对公共卫生服务的重视程度及满意情况,发现问题并探讨解决方法,为滇西公共卫生服务能力建设提供对策建议。方法采用多阶段抽样方法,选取滇西贫困山区的3个样本县,以县乡村三级医疗卫生机构的卫生人员作为研究对象,通过文献分析和问卷调查进行定性、定量研究。结果基本情况:县乡两级卫生人才学历以大专为主,本科仅占30%;村级卫生人才学历以中专为主,本科仅占1.8%;县乡村三级在公共卫生服务重视程度都存在差异,S市在县乡村三级重视度均高(P<0.05);满意度情况:L县和C县县级人员对获得上级医疗机构指导与管理的满意度要高(P=0.004),乡镇人员对开展公共卫生服务补助标准的满意度要高(P=0.006)。结论滇西贫困山区公共卫生服务重视度和满意度总体较高,C县重视度偏低,S市满意度偏低,同时存在公共卫生人才匮乏、学历层次低的问题,应继续加强公共卫生人才队伍建设,推进滇西贫困山区公共卫生服务均等化。Objective To investigate the recognition and satisfaction of medical institutions on public health service in the poor mountainous areas of western Yunnan,to explore issues and solutions,and to provide countermeasures and suggestions for the capacity building of public health service in western Yunnan.Methods Using multi-stage sampling method,three sample counties in the poor mountainous area of western Yunnan were selected,and the health personnel in the county and village level medical and health institutions were taken as the research subjects.Qualitative and quantitative research were conducted through literature analysis and questionnaire survey.Results The majority of health professionals at the county and township levels are college graduates,and only 30%have bachelor's degrees.The education level of health professionals at the village level was mainly secondary vocational school,and only 1.8%have bachelor's degree.There were differences in the degree of public health care at the county and village levels,and County L had higher degree of public health care at the county and township levels(all P<0.05).County-level personnel in County L and County C were more satisfied with the guidance and management of superior medical institutions(P=0.004),and township personnel were more satisfied with the standard of public health service subsidy(P=0.006).Conclusion The recognition and satisfaction of public health services in the poor mountainous areas of western Yunnan is generally high,the recognition in County C is low,and the degree of satisfaction in City S is low.At the same time,there are problems such as lack of public health talents and low educational level・Therefore,the construction of public health talents should be continued to be strengthened to promote the equality of public health services in the poor mountainous areas of western Yunnan.

关 键 词：公共卫生服务 满意度 贫困山区 医疗机构 

分 类 号：R192[医药卫生—卫生事业管理]