基于家庭医生式服务的社区医疗机构服务信任度研究

Study of the trust on GP-based community health centers services

目的了解某社区居民对本社区医疗机构服务整体的信任度情况，以便更好地开展家庭医生式服务。方法采用随机个体抽样法，利用自制医疗服务信任度量表（包括23个指标），对北京市某社区224名不同性别、年龄、受教育年限的社区就医居民，针对医疗服务整体信任度进行拦截式调查。结果不同性别居民对23个指标选择的满意率差异无统计学意义（P〉0．05）；不同年龄居民对医疗服务整体信任度的7项差异有统计学意义；不同受教育年限居民对医疗服务整体信任度的11项差异有统计学意义。结论基于家庭医生式服务的社区医疗机构服务整体信任度有待改善，应进一步强化政府责任，加大投入，并提高全科医生的整体服务水平。

Objective To probe into the trust of residems on the health centers service offered in their community in general for providing better family doctor servicer Methods A custom-made trust scale for medical service （including 23 indicators） and random sampling were called into play. An intercept survey was made to 224 residents of different gender, age and education in a community in Beijing regarding their overall trust on medical service. Results The different satisfaction over their selection of the 23 indicators among residents of different gender is not significant statistically （P〉0. 05） ; the seven differences of the residents of different ages regarding their trust of the general medical service are significant statistically; the 11 differences of the residents of different education regarding their trust on the community health centers in general are significant statistically. Conclusion The GP-based community health centers are expected to improve the trust of residents on them in general, by means of en}mncing government responsibility, government investment and the improvement of services of general practitioners.