贫困地区居民对县乡村医疗机构反应性评价

Evaluation on responsiveness of medical institutions at town,country and village levels among rural residents in Guizhou province

目的考察贵州省农村居民对县、乡、村三级医疗机构反应性评价。方法采用多阶段随机抽样方法,对贵州省4个县的1 006户家庭进行入户调查,对391例在县级医疗机构就诊和住院患者进行随机调查。结果农村居民对县、乡、村三级医疗机构反应性评价较好的有服务态度、沟通与交流、基本环境条件;及时性次之;对自主性和保密性的要求及其满足程度较低;反应性的大部分指标仍有改进及提升空间。居民对县、乡级机构的保密性、自主性、费用查询的评价明显不同。结论重视反应性对农村卫生系统绩效的促进作用;优先考虑与医疗机构功能相适应的医疗设施与设备建设和人才建设;发挥卫生服务供方在提高反应性上的主导作用。

Objective To explore the rural residents＇ evaluation on responsiveness of medical institutions at town, country and village levels in rural areas Guizhou province. Methods One thousand and six households in countries and villages and 391 patients in town-level medical institutions at 4 towns were selected with multi-stage random sampling for the investigation. Results The rural residents considered that the service attitude, communication, and elementary environment of the medical institutions were good, but the prompt service was not good enough and the institutions were deficit in meeting the requirement of appointing doctor and keeping privacy. There were significant differences between town and country level in the evaluations of the institutions in the respects of appointing doctor, keeping privacy and checking medical cost. Conclusion The importance of responsiveness of the health system should be recognized and the responsiveness of the medical institutions at country and village levels should be enhanced.