盐城市大丰区农村老年人对家庭医生签约服务的满意度研究  

A study on the satisfaction of the rural elderly people in Dafeng district, Yancheng city with contracted family doctor services

作　　者：徐硕 覃朝晖 谷月 关雪凌 黄文昊 沈良 Xu Shuo;Qin Zhaohui;Gu Yue;Guan Xueling;Huang Wenhao;Shen Liang(School of Management,Xuzhou Medical University,Xuzhou 221004,China;Medical and Health Emergency Rescue Research Center of Xuzhou Medical University,Xuzhou 221004,China;Xuzhou Central Hospital Medical Department,Xuzhou 221009,China)

机构地区：[1]徐州医科大学管理学院,徐州221004 [2]徐州医科大学医疗卫生应急救援研究中心,徐州221004 [3]徐州中心医院医务处,徐州221009

出　　处：《中华老年医学杂志》2024年第5期623-628,共6页Chinese Journal of Geriatrics

基　　金：江苏省教育厅哲社重大项目(2021SJZDA136)。

摘　　要：目的了解江苏盐城大丰区农村老年人对家庭医生签约服务的满意度情况并探讨其影响因素,为提高老年人群家庭医生签约服务的质量提供参考依据。方法运用分层整群抽样的方法在盐城市大丰区抽取60周岁及以上的农村老年人进行问卷调查,以参加签约服务半年以上的老年人作为研究对象,调查老年人的一般情况和对签约服务的认知、利用及满意度情况,并采用χ2检验和多因素Logistic回归分析家庭医生签约服务满意度的影响因素。结果共调查已签约家庭医生服务的农村老年人385名,调查对象对家庭医生签约服务总体满意度为88.3%(340/385),99.2%(382/385)的老年人了解家庭医生签约服务,81.8%(315/385)的老年人接受过签约家庭医生提供的基本医疗服务。影响老年人对家庭医生签约服务总体满意度的多因素Logistic回归分析结果显示,性别为女性(OR=2.557、95%CI:1.122~5.830、P=0.026)、在婚情况为非在婚(OR=7.355、95%CI:1.850~29.237、P=0.005)、支持家庭医生签约制度(OR=18.442、95%CI:1.732~195.973、P=0.016)、签约医疗机构硬件设施完善(OR=9.918、95%CI:2.313~42.526、P=0.002)、有提供针对老年人的卫生服务内容(OR=8.723、95%CI:1.556~48.908、P=0.014)、签约后健康状况改善(OR=5.006、95%CI:1.764~14.201、P=0.002)是影响签约老年人满意度的因素。结论盐城市大丰区农村老年人对家庭医生签约服务总体满意度较高,不同性别、在婚情况、对家庭医生签约制度是否支持、签约后健康状况是否改善、签约所在医疗机构硬件设施是否完善、有无提供针对老年人的卫生服务内容等是影响签约老年人满意度的因素,应聚焦老年人群需求,提高签约服务的适老化水平,提升家庭医生签约服务的满意度。Objective To investigate the satisfaction levels of the rural elderly in Dafeng district of Yancheng,Jiangsu province with the contracted family doctor services,and to identify the factors that influence their satisfaction.The findings of this study will provide valuable insights for improving the quality of the contracted family doctor services offered to the rural elderly population.Methods The study utilized the stratified cluster sampling method to select elderly individuals aged 60 years and above from Dafeng district,Yancheng city for a questionnaire survey.Specifically,the study focused on elderly individuals who had participated in contracted family doctor services for more than six months.The survey aimed to gather information on the elderly population's general situation,as well as their understanding,utilization,and satisfaction with contracted family doctor services.The satisfaction of contracted family doctor services was analyzed using the chi square test and multivariate Logistic regression to identify the influencing factors.Results The study surveyed 385 elderly individuals from rural areas who had contracted family doctor services.The results showed that 88.3%(340/385)of respondents were satisfied with the services they received.Additionally,99.2%(382/385)of those surveyed were aware of the contracted family doctor services,and 81.8%(315/385)had received basic medical services from their signed-up doctors.The results of a multifactor analysis that examined the factors influencing the overall satisfaction of elderly patients with their contracted family doctor services revealed several significant factors.Specifically,being female(OR=2.557,95%CI:1.122-5.830,P=0.026)and unmarried(OR=7.355,95%CI:1.850-29.237,P=0.005),supporting the contracted family doctor services system(OR=18.442,95%CI:1.732-195.973,P=0.016),believing that the contracted medical institutions had excellent hardware facilities(OR=9.918,95%CI:2.313-42.526,P=0.002)and providing high-quality health services for the elderly(OR=8.723,95

关 键 词：家庭医疗保健服务 农村人口 满意情况 影响因素 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]