老年居民对社区卫生服务利用及满意度调查

Investigation on utilization of community health service and satisfactory degree among community elderly population

目的了解山西省太原市老年居民对社区卫生服务利用及满意情况,为开展社区卫生服务工作提供依据。方法采用整群随机抽样方法对太原市4个社区卫生服务站257名65岁以上就诊老年居民进行面对面询问调查。采用SPSS 11.5统计软件描述频数分布,利用累加Logistic回归模型进行因素分析。结果到社区卫生服务站就诊者中,老年女性、低文化程度、低家庭收入占多数,首选社区卫生服务机构就诊者中医疗费用负担方式以自费占绝大多数(71.8%)。就诊目的以开药(80.2%)、诊疗(32.7%)、输液(32.7%)为主,就诊原因主要是快捷方便(60.0%)、离家近(45.9%)、解决小病(17.9%)、态度好(16.7%)等,对社区卫生服务机构总体满意度为46.3%。累加Logistic回归分析结果显示:影响老年人医疗服务满意度因素为性别、文化程度、经济收入、医疗费用负担方式、首诊地点选择。结论社区老年居民对健康保健服务需求较高,对社区卫生服务较为满意认可,医疗服务质量有待进一步提高。

Objective To explore the utilization of community health service and satisfactory degree among the communlty elderly population and provide reliable evidence for performing community health service. Methods By cluster sampling in four community - based health service stations, 257 elderly clients above 65 years old were selected to receive face to face investigation. SPSS 11.5 statistical package was used to describe the frequency distribution and construct regression model to analyze influencing factors. Results Elderly female, subjects with lower educational level and subjects with lower average household income occupied the most of elderly clients who came to visit the clinic. The aim to visit the clinic was as following： drug purchase（80.2 % ）, treatment and diagnosis （32.7 % ）, transfusion （32.7 % ）, etc. The reason to visit the clinic were as following： convenience （60.0 % ）, short - time for traffic （45.9%）, effective approach to deal with common disease （17.9 % ）, good manner （16.7 % ）. The overall satisfactory rate was 46.3 %. Influencial factors on satisfactory degree of the elderly population included gender, educational level, average household income, the way to pay for medical expenses, the first choice of medical unit. Conclusion The elderly community residents need high quality health care service and the quality of medical service in community needs to be further improved.