中国东、中、西部地区老年人基本公共卫生健康体检利用情况及其满意度调查  

Participating in and satisfaction to basic public health services-based physical examination among community elderly in eastern,central and western China

作　　者：李梦宇 廖子锐 连隽 刘璐[1] 尤莉莉[1] 刘远立[1] LI Mengyu;LIAO Zirui;LIAN Jun;LIU Lu;YOU Lili;LIU Yuanli(School of Health Policy and Management,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100005,China)

机构地区：[1]中国医学科学院北京协和医学院卫生健康管理政策学院,北京100005

出　　处：《中国公共卫生》2023年第8期953-957,共5页Chinese Journal of Public Health

基　　金：美国中华医学基金会项目(18-296)。

摘　　要：目的了解中国东、中、西部地区老年人基本公共卫生健康体检利用情况及其满意度,为完善基本公共卫生服务项目老年人健康管理提供参考依据。方法于2019年11—12月采用多阶段分层抽样方法从中国东部地区浙江省、中部地区山西省和西部地区重庆市抽取在20个基层医疗机构就诊的3334名65岁老年人进行问卷调查。结果中国东、中、西部地区最终纳入分析的3213名老年人中,利用基本公共卫生健康体检者3008人,基本公共卫生健康体检利用率为93.6%;对健康体检满意者2247人,利用基本公共卫生健康体检老年人对健康体检满意度为74.7%;在老年人对健康体检提出的建议中,有49.6%的老年人建议“增加体检项目”,有15.1%的老年人建议“增加体检频次”,有14.9%的老年人建议“详细解读体检报告”,有12.3%的老年人建议“及时告知体检结果”。结论国家基本公共卫生健康体检服务整体利用较好,但体检项目和服务过程仍有提升空间。Objective To examine the utilization of and satisfaction to physical examination–one of items in basic public health services among community elderly in eastern,central and western China.Methods With stratified multistage random sampling and a self-designed questionnaire,an onsite interviewer-assisted self-administered survey was conducted among 3334 elderly attendees(aged 65 years and above)of 20 primary medical institutions during November–December 2019 in eastern,central and western China(Zhejiang province,Shanxi province and Chongqing municipality).Results Of the 3213 participants with eligible responses,3008(93.6%)reported ever taking physical examination free of charge at community health service centers or township health centers during past one year.Among the 3008 participants receiving the physical examination,2247(74.7%)expressed the satisfaction to the check-up items of the physical examination.In terms of expected improvements for the physical examination,inclusion of more check up items was suggested by 49.6%of the participants,followed by increasing the frequency of physical examination,providing a more detailed physical examination report,and timely notification of the physical examination results which were suggested by 15.1%,14.9%,and 12.3%of the participants,respectively.Conclusion The utilization ratio of national basic public health services-based physical examination is high among community elderly in China but items and service processes of the physical examination still need to be improved.

关 键 词：基本公共卫生服务 健康体检 利用率 满意度 老年人 

分 类 号：R194.3[医药卫生—卫生事业管理]