长春市某社区卫生服务中心就诊居民服务质量感知现况及社区首诊意愿调查

Residents' Perception of Service Quality and Community First Visit Intention in a Community Health Service Center in Changchun City

目的:了解长春市某城区社区卫生服务中心就诊者的社区首诊意愿及对服务质量的感知,探讨就诊居民社区首诊的意愿。方法:对长春市某城区6所社区卫生服务中心就诊者社区首诊意愿及对社区卫生感知服务质量进行问卷调查。结果:42.4%的调查对象愿意接受社区首诊,未婚、无固定职业、初中及以下学历、家庭月收入低的就诊居民社区首诊的意愿较高。社区卫生感知服务质量评价好的就诊者更愿意接受社区首诊(P<0.05);多因素Logistic回归分析结果显示,就诊居民对社区治疗效果的感知服务质量(OR=2.344,P<0.05)和关注特殊需求的感知服务质量(OR=1.758,P<0.05)影响首诊意愿。结论:弱势群体的社区首诊意愿较高,就诊居民对社区卫生服务的质量感知影响社区首诊意愿。

Objective： To learn residents＇ willingness for community first contact care and perceived service quality in a district in Chang chun City, and investigate how resident＇s perceived quality affected their willingness. Methods： We conducted quesLionnaire survey about will ingness lot community first conLact care and perceived quality on residents from six community heahh service cenLers by purposive sampling meLh -od. Results： Only 42.4% of residents were willing Lo accept the lirsl contact care in community. Residents that unmarried, non-lixed occupation, being junior high school or lower and having low monthly household income were prefer to choose the community lirst contact care. Padents with better perceived quality of community health service were more willing to accept the lirst visit in the community （P〈0.05）. Multivariate Logistic re- gression analysis showed that perceived therapeutic elffeel （ OR = 2.344, P〈 0.05 ） and perceived special need （ OR = 1.758, P〈 0.05 ） inlluenced residents＇ willingness of community first contact care. Conclusion： Vulnerable groups had a higher willingness lot community first contact care. Residents＇ perceived community health service quality inlluenced their willingness of community lirst contact care.