患者对上海地区特需医疗服务的认知和需求分析

Analysis of awareness and demand on special medical services of patients in Shanghai

目的分析患者对上海地区特需医疗服务的认知和需求,为特需医疗服务的发展提供建议。方法随机选择在上海市5家公立医疗机构门诊就诊的501名患者进行问卷调查,根据患者是否有特需就诊经历分为特需患者组(n=234)和普通患者组(n=267)。调查内容包括患者的基本情况、特需就诊经历和态度、特需医疗需求、支付情况以及对特需医疗服务的意见5个方面。结果有过特需医疗服务的患者年龄在30岁以上的占调查人数的76.5%;有高达96.6%的特需患者认为公立医疗机构应该提供特需医疗服务,显著高于普通患者组的53.9%(P<0.000 1);有42.7%的特需患者认为特需医疗服务的价格不合理。在被调查的所有患者中,有37.0%的患者最看重特需医疗的高品质医疗服务特点(服务者为临床经验丰富的专家),有52.0%的患者会选择专家门诊。结论患者对公立医疗机构提供特需医疗服务持肯定态度,政策还需进一步明确特需医疗服务范围及其内涵。

Objective To investigate the awareness and demand on special medical services of patients in Shanghai,and put forward suggestions on the development of special medical services. MethodsFive hundred and one patients randomly selected from 5 public hospitals in Shanghai were subjected to questionnaire survey,and patients were divided into special medical care group（n=234） and ordinary medical care group（n=267） according to the experience of special medical services.The survey included five aspects of basic conditions,experience and attitude towards special medical services,demand on special medical services,payment of special medical services and advice for special medical services. ResultsPatients older than 30 years accounted for 76.5% in special medical care group,and 96.6% of patients in special medical care group believed that special medical services should be provided in public hospitals,which was significantly higher than that in ordinary medical care group（53.9%）（P0.000 1）.It was considered the price of special medical services was unreasonable by 42.7% of patients in special medical care group.Among all the patients,37.0% thought high-quality medical services（services provided by medical experts） was essential for special medical services,and expert outpatient services were preferred by 52.0% of patients. ConclusionPatients hold positive attitudes towards special medical services in public hospitals,and the scope and content of special medical services are to be clarified.