农村三级医疗预防保健网门诊反应性分析

Analysis on outpatient responsiveness of three-tier medical and preventive network in rural area of Weihai city

目的了解威海市农村县、乡、村三级医疗预防保健网的门诊反应性,为改进医疗服务质量提供参考依据。方法利用威海市居民健康状况调查中卫生系统反应性的数据,采用频数、构成比等方法进行描述性分析,采用秩和比法进行综合性分析。结果到三级医疗预防保健网就诊的患者合计占85.2%。9个反应性项目“很好”和“好”的构成比之和均低于80.0%,其中投诉、就诊设施和环境及查询帐单均低于60.0%。患者最不满意的是医疗费用高。结论三级医疗预防保健网门诊服务的反应性还有待于进一步提高,尤其是在投诉、就诊设施和环境、查询帐单方面应进一步改善。

Objective To know the outpatient responsiveness of the three-tier medical and preventive network in rural area of Weihai so as to provide references for improving its medical service. Methods Data of Health System Responsiveness from investigation on health conditions among residents in rural area of Weihai was used. Frequency and proportion were used in the description, and Rank Sum Ratio （RSR） was used in comprehensive evaluation. Results The ratio of outpatients receiving medical service at the three - tier medical and preventive network was 85.2 %. The proportions of ＂very good＂ and ＂good＂ of the 9 aspects were all below 80.0 %, and of medical compliments, medical instrument and environment, and query on expense were below 60.0 %. The outpatients were most unsatisfied with high medical expenditure. Conclusion There is great room for the outpatient responsiveness of the three-tier medical and preventive network to be upgraded, especially for medical compliments, medical instrument and environment, and query on expense.