社区疾病预防与控制适宜技术推广应用对服务对象满意度的影响

Impacts of appropriate technology of disease control and prevention in community on the satisfaction among patients

目的:评价试点地区社区疾病预防与控制适宜技术推广应用对服务对象满意度的影响。方法:分别对8个试点地区进行基线调查,并于适宜技术开展3年后进行终线调查,采取pre-post评估设计和数据分析方法。结果:服务对象的满意度问卷调查中,在控制了调查对象的性别、年龄、教育程度和医疗保险类型几项可获得的混杂因素的影响之后,结果表明,各项适宜技术的规范开展使总体满意度提高了12.6%,其中服务态度满意度提高了10.4%,服务技术满意度提高了3.01%,服务价格的满意度提高了14.3%,服务结果满意度提高了4.96%。结论:社区疾病预防与控制适宜技术的应用通过改善全科医生的服务技术和服务态度,提高了患者的依从性和治疗效果,从而使患者满意度得到提高,但服务技术的满意度有待于进一步改善。

Objective：To evaluate impacts of appropriate technology of disease control and prevention in community on the satisfaction among patients.Methods：Eight communities were selected as pilots,investigations of satisfactions among patients at baseline and 3-year follow up after intervention were conducted by the third-party institution.Pre-Post design was employed to estimate the impacts.Results：Appropriate technology of disease control and prevention in community resulted in increasing patient satisfaction on service attitude and service technology by 10.4% and 3.01% and increasing the satisfaction on service price,service consequence and overall satisfaction by 14.3%,4.96% and 12.6% respectively.Conclusion：Appropriate technology of disease control and prevention in community has impact on increasing satisfaction among patients by advancing general practitioner＇s skill and attitude and increasing patients＇ compliance and effectiveness of treatment.However,patients＇s atisfaction on service skills should be further strengthened.