深圳市劳务工和非劳务工社区卫生服务利用及满意度对比分析

Utilization of and satisfaction at community health service: Comparative analysis between migrant workers and non-migrant workers in Shenzhen

目的:了解劳务工和非劳务工对社区卫生服务利用情况及其满意度。方法:在深圳市宝安区随机抽取街道及其社区卫生服务中心,以拦截调查的方式共调查社区卫生服务利用者8 000人,运用SPSS18.0软件对数据进行统计分析。结果:劳务工最近一年到社区卫生服务中心就诊次数为3次及以上的比例高于非劳务工,差异有统计学意义(P<0.000 1);劳务工和非劳务工就诊人群满意度前三位分别是服务态度(73.29%,73.46%)、技术水平(65.29%,67.50%)、看病方便(63.16%,64.98%);73.47%的就诊者愿意接受社区首诊制,劳务工人群相比非劳务工人群更愿意接受社区首诊(74.16%,69.71%)。讨论:深圳市劳务工社区首诊制的实施使居民社区卫生服务利用有所提高,劳务工和非劳务工对社区卫生服务的满意度较高,且差别不大。以深圳为借鉴,在全国逐步推进社区首诊制具有一定的可行性。

Objective： To explore the utilization of and satisfaction at community health service between migrant and non-migrant workers in Shenzhen city. Methods： Random sampling was used and 8000 community residents in Shenzhen city were investigated, and the data was analyzed with SPSS 18.0. Results： There was statistically signifi- cant difference on the times of seeking community health services last year between migrant workers and non-migrant workers （P 〈 0. 0001 ）, and the proportion of more than three times service utilization of migrant workers were greater than that of non-migrant workers. The top three elements inpluencing satisfaction at community health service between migrant and non-migrant workers were service attitude （ 73.29% vs. 73.46% ）, technical level （ 65.29% vs. 67.50% ）, and its convenience of seeking a doctor （63.16% vs. 64.98% ）. 73.47% of users （migrant workers： 74. 16%, non-migrant workers： 69.71% ） were willing to accept the system of first contact in community health institutions. Conclusions： The utilization of community health service has increased since implementing the system of first contact in community health institutions. Both migrant workers and non-migrant workers were very satisfied with the community health services, and the differences on satisfaction between the two groups were not significant. It is feasible to gradually promote the system of first contact in community health institutions over China.