吉林省居民感知服务质量与基层卫生服务利用的关系  

Relationship Between Residents’Perceived Service Quality and Grassroots Health Service Utilization in Jilin Province

作　　者：李欣茹 李晶华[1] 周昂迪 宋怡雯 邵玮娅 马京玉 张莉[1,2] LI Xinru(School of Public Health,Jilin University,Changchun,Jilin,130021,China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021 [2]滨州医学院公共卫生与管理学院,山东烟台264033

出　　处：《医学与社会》2022年第9期15-19,共5页Medicine and Society

基　　金：吉林省卫生健康委员会资助项目“乡村振兴背景下吉林省县域卫生服务能力提升策略研究”,编号为2021GL004。

摘　　要：目的:探究居民感知服务质量的潜在类别,分析其与基层卫生服务利用关系,为改善基层医疗机构服务质量,提升居民基层卫生服务利用提供理论依据。方法:对吉林省基层医疗机构就诊的1344名居民进行问卷调查,采用潜在剖面分析的方法对居民感知卫生服务质量进行分类,利用二分类logistic回归分析研究居民感知服务质量与基层卫生服务利用的关系。结果:居民感知服务质量分为高、中、低3个潜在类别组,分别占总人数的15.8%,71.0%和13.2%。在控制人口学特征后,感知服务质量潜在类别组是居民过去一年就诊次数和持续就诊时长的影响因素,高感知服务质量组的居民就诊次数更多、持续就诊时长更长(P<0.05)。结论:感知服务质量是居民选择利用基层卫生服务的重要因素,基层医疗机构需要不断增强服务能力,提高卫生服务质量,从而促使居民选择基层医疗机构就诊。Objective:To investigate the potential categories of residents’perceived service quality,to analyze its relationship with grassroots health service utilization,so as to provide theoretical basis for improving the service quality of grassroots health care institutions and enhancing residents’utilization of grassroots health services.Methods:A questionnaire survey was conducted on 1344 residents attending grassroots health care institutions in Jilin province,and the latent profiles analysis was used to classify the residents’perceived health service quality,and binary logistic regression analysis was used to investigate the relationship between residents’perceived service quality and grassroots health service utilization.Results:Residents’perceived service quality was divided into three latent classes:high,medium and low,accounting for 15.8%,71.0%and 13.2%of the total population,respectively.After controlling for demographic characteristics,the perceived service quality potential latent class was an influential factor in the number of past-year visits and length of sustained visits for residents,with more visits and longer sustained visits for residents in the high perceived service quality group(P<0.05).Conclusion:Perceived service quality is an important factor for residents to choose grassroots health care services.Grassroots health care institutions need to continuously enhance their service capacity and improve the quality of health services,so as to motivate residents to choose grassroots care institutions for consultation.

关 键 词：基层医疗卫生机构 感知服务质量 卫生服务利用 居民 吉林 

分 类 号：R195[医药卫生—卫生统计学]