乌鲁木齐市居民社区卫生服务满意度调查与评价

Community health service satisfaction survey and evaluation of Urumqi city residents

目的了解乌鲁木齐市居民对社区卫生服务利用的总体情况及满意度,初步分析社区卫生服务中存在的问题和影响因素。方法采用自行设计的社区卫生服务满意度调查表,随机抽样调查6家社区卫生服务机构(4家为政府举办,2家为社会力量举办)共600名居民,对其满意度情况进行调查。结果 (1)居民选择社区卫生服务机构的主要原因是"方便快捷"、"候诊时间短"。社区居民健康档案的建档率(38.3%)未达到规定比例,健康教育讲座参加率(23.7%)较低。居民对社区卫生服务机构的综合满意度为85.0%。对就诊方便程度和候诊时间满意度最高,分别为96.5%和96.8%;对设备条件、医疗技术和药品价格的满意度最低,分别为64.2%、69.4%和62.9%。(3)居民对社区卫生服务站的就诊环境、服务价格、药品价格等的满意度均低于社区卫生服务中心。(4)居民对由社会力量举办的社区卫生服务机构在服务价格、药品价格、医疗技术和总体满意度低于由政府举办的社区卫生服务机构,而其在服务态度方面高于由政府举办的社区卫生服务机构。结论加强社区卫生服务机构的内涵建设,推进社区卫生服务的可持续发展。

Objective To understand the overall situation of Urumqi residents＇utilization of the community health service and satisfaction degree,then we have a preliminary analysis of community health service prob-lems and the influencing factors.Methods The community health service satisfaction survey designed on our own was randomly carried out among 6 0 0 residents from six communities.Results the main reasons that the residents choose community health service institutions were“being convenient”and“shorter waiting time.”Community health record filing rate （38.3%）did not reach the required proportion.The health education seminars participation rate （2 3 .7%）was low.（2 ）residents＇overall satisfaction of the community health service institutions was 8 5 .0%.9 6 .5 percent and 9 6 .8 percent respectively went to satisfaction degree in treatment convenience and waiting time;Satisfaction degree in the equipment,medical technology and drug prices were 6 4 .2%,6 9 .4% and 6 2 .9%.（3 ）residents＇satisfaction of the community health service stations in the treatment environment,service prices,drug prices were lower than that of the satisfaction of community health service centers.（4）residents＇overall satisfaction on community health service institutions organized by social forces was lower than that of the government-run community health services in the service prices,drug prices,medical technology,but serving manners in community health service institutions are better than those in government-organized community health service institutions.Conclusion strengthen the connotation con-struction of community health service institutions,and promote the sustainable development of community health services.