上海市老年照护统一需求评估初评满意度调查——基于需方视角  

Satisfaction survey on the preliminary assessment of unified elderly care needs evaluation in Shanghai:from the perspective of service recipients

作　　者：赵瑞 陈凯悦 王佳韵 秦昊 陈政 李程跃 ZHAO Rui;CHEN Kaiyue;WANG Jiayun;QIN Hao;CHEN Zheng;LI Chengyue(NHC Key Laboratory of Reproduction Regulation,Shanghai Institute for Biomedical and Pharmaceutical Technologies,Shanghai 200237,China;Department of Maternal,Child and Adolescent Health,School of Public Health,Fudan University,Shanghai 200032,China;Department of Health Policy and Management,School of Public Health,Fudan University,Shanghai 200032,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;Shanghai Medical and Health Affairs Service Center,Shanghai 200072,China)

机构地区：[1]上海市生物医药技术研究院,国家卫生健康委员会计划生育药具重点实验室,上海200237 [2]复旦大学公共卫生学院妇幼与儿少卫生教研室,上海200032 [3]复旦大学公共卫生学院卫生事业管理学教研室,上海200032 [4]复旦大学卫生发展战略研究中心,上海200032 [5]上海医健卫生事务服务中心,上海200072

出　　处：《上海预防医学》2024年第4期313-318,共6页Shanghai Journal of Preventive Medicine

基　　金：上海市卫生健康委员会卫生健康政策研究课题(2022HP25)。

摘　　要：【目的】分析接受服务的对象对上海老年照护统一需求评价初评服务的满意度,为进一步优化服务体系提供参考。【方法】采用多阶段随机抽样方法,对上海6个区的110名接受过老年照护统一需求评估服务的对象进行结构式问卷调查。采用SPSS 25.0软件进行统计分析,单因素分析采用χ^(2)检验、Fisher精确概率检验,多因素分析采用ordinal回归分析。【结果】不同区域对象对初评过程各项指标的满意度存在差异,远郊满意度均较低(P<0.01)。多因素分析结果显示,初评有关的时间满意度指标均与服务对象所在区域和个人主要经济来源有关;对评估人员服务态度和能力的满意度仅与所在区域有关;初评结果满意度则与对象的婚姻状况、学历和收入水平及具体评级结果有关。【结论】上海老年照护统一需求评估初评满意度较高。在评估过程中要基于个人各类信息对其需求状况进行更加深入的分析和挖掘,才能确保最终提供的老年照护服务的适宜性,切实提高对象满意度。[Objective]To analyze the satisfaction of service recipients with the preliminary assessment service of the unified elderly care needs evaluation in Shanghai,so as to provide reference for further optimization of the service system.[Methods]A multi-stage random sampling method was employed to recruit participants.A total of 110 individuals who had received unified elderly care needs evaluation service in six districts of Shanghai were investigated using a structured questionnaire.SPSS 25.0 was used to analyze the data.Univariate analyses were conducted using the Chi-square test and Fisher’s precision probability test,while multivariate analysis was performed using ordinal regression.[Results]There were differences in satisfaction with various aspects of the preliminary assessment process among participants from different areas,with those from outer suburbs generally exhibiting lower satisfaction(P<0.01).Multivariate analysis results indicated that satisfaction with the timing of the preliminary assessment was related to the service recipients’residential area and their primary source of income;satisfaction with the service attitude and capability of the assessment personnel was only related to the residential area.Satisfaction with the preliminary evaluation results was related to the participants’marital status,educational level,income level,and the specific rating results.[Conclusion]The satisfaction level with the preliminary assessment of the unified elderly care needs assessment in Shanghai is relatively high.In the process of evaluation,a deeper analysis and exploration of individual needs based on various personal information are essential to ensure the appropriateness of the provided elderly care services,and thereby effectively enhancing recipient satisfaction.

关 键 词：老年照护 统一需求评估 初评服务 满意度 上海 

分 类 号：R19[医药卫生—卫生事业管理]