新医改背景下上海市居民对基层医疗卫生服务满意度的调查研究

Research on Shanghai resident satisfaction of primary healthcare after new health reform

目的了解新医改背景下上海市居民对基层医疗卫生服务的满意度。方法采用分层抽样方法，选取上海市中心城区、城乡结合区和郊区9家社区卫生服务中心，采用自行设计问卷对2250名门诊患者就其对基层医疗卫生服务满意度进行测评。结果居民对新医改的满意率为85．2％；对基本医疗保障制度的满意率为85．0％；对基层医疗服务比较满意，满意率为96．5％；对基本公共卫生服务的满意率为95．1％。年龄、城乡、职业、文化程度和收入是居民对基层医疗卫生服务满意度的主要影响因素。结论总体而言，上海市居民对基层医疗卫生服务满意度较高，但也存在一些问题值得关注，如基本医疗保险保障水平和报销手续仍有待提高、基层医疗卫生机构的诊疗费用仍需合理控制和基本药物无法完全满足基层医疗机构的用药需要。

Objective The research was to achieve Shanghai resident satisfaction of primary health service after new health reform_ Methods During self-compiled questionnaire survey, the research adapted stratified random sampling to select 9 community health centers in Shanghai urban, rural and suburb areas. Results Shanghai resident satisfaction rate of new health reform was 85.2%. Satisfaction rate of basic medical security system was 85.0%. Satisfaction rate of basic medical service was 96.5%. Satisfaction rate of basic public health service was 95.1%. Age, region, job, education and income were main factors to satisfaction of primary health service. Conclusion From an overall point of view, Shanghai resident satisfaction of primary health service after new health reform was high. However, the level of basic medical security and convenience of reimbursement were not high. Medical expenses of primary health care institution had not been effectively controlled. Basic medicine could not fully meet the medication needs of primary health care institutions.