云南省某医院住院与门诊患者卫生系统反应性期望及影响因素分析  

Analysis of the expectation and influencing factors of health system responsiveness between inpatients and outpatients in Yunnan Province

作　　者：陆蓉 李静 李晓梅 李佳霜 郑晓丽 LU Rong;LI Jing;LI Xiao-mei;LI Jia-shuang;ZHENG Xiao-li(School of Public Health,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

出　　处：《中国公共卫生管理》2022年第2期157-160,168,共5页Chinese Journal of Public Health Management

基　　金：国家自然科学基金(81760617);国家卫生健康委员会毒品依赖和戒治重点实验室科学研究A类重点项目(2020DAMARA-003);云南省创新团队培育项目(202005AE160002);云南省大学生创新基金(2020JXD149)。

摘　　要：目的探讨云南省某医院住院与门诊患者卫生系统反应性(health system responsiveness,HSR)的差异及可能的影响因素。方法采用整群随机抽样的方法选取云南省某医院住院与门诊患者作为调查对象,对其进行问卷调查。采用t检验对住院与门诊患者间HSR各个领域的得分进行统计分析,采用多元线性回归分析可能的影响因素。结果门诊患者在尊严(t=-4.216)、及时关注(t=-4.216)、交流(t=-4.684)、基础设施质量(t=-3.814)、保密(t=-2.248)和选择(t=-2.451)领域的实践得分均高于住院患者,差异均有统计学意义(P<0.05)。患者类型、家庭月收入和民族可能是HSR的影响因素。结论门诊患者重点关注尊严、交流、基础设施质量、保密等方面的期望,医疗机构要根据民族、家庭月收入的不同,分层次满足患者的合理期望。Objective To explore the difference and possible influencing factors of health system responsiveness(HSR)between inpatients and outpatients in a hospital in Yunnan Province.Methods Cluster random sampling was used to select inpatients and outpatients in a hospital in Yunnan Province as the investigation objects,and a questionnaire survey was conducted.The scores of HSR scores of inpatients and outpatients were statistically analyzed by t test,and the possible influencing factors were analyzed by multiple linear regression.Results The practice scores of outpatients in the fields of dignity(t=-4.216),timely attention(t=-4.216),communication(t=-4.684),infrastructure quality(t=-3.814),confidentiality(t=-2.248)and choice(t=-2.451)were higher than those of inpatients,with statistically significant difference(P<0.05).Patient type,family monthly income and nationality may be the influencing factors of HSR.Conclusion For outpatients,attention should be paid to the expectations of dignity,communication,infrastructure quality,and confidentiality etc.Medical institutions should satisfy reasonable expectations of patients according to the different nationalities and family monthly income.

关 键 词：卫生系统反应性 门诊患者 住院患者 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]