石家庄市社区居民对社区卫生服务的满意度及家庭医生签约现状调查

Satisfaction with Community Health Services and Use of Contracted Family Doctor Services among Shijiazhuang's Community-dwelling Residents

目的了解石家庄市社区居民对社区卫生服务的满意度及其影响因素,为进一步改善和提高社区卫生服务质量提供依据。方法2016年12月—2017年1月采用分层随机抽样的方法,在石家庄市抽取8个社区卫生服务中心,对来社区卫生服务中心就诊的1 047例患者采用现场自填的方法随机进行问卷调查,调查内容包括居民的一般情况、家庭医生签约服务认知及签约情况、居民对卫生服务的满意度评价。应用统计软件对1 031份有效问卷采用统计描述、χ~2检验和Logistic回归分析的方法进行分析。结果 1 031例患者家庭医生签约率达86.42%(891/1 031)。居民对社区卫生服务的总体满意度为97.09%(1 001/1 031)。Logistic回归分析显示,医生技术水平、签约家庭医生满意度、总体服务价格是社区居民满意度的影响因素(P<0.05)。结论石家庄市社区居民对社区卫生服务的总体满意度较高,居民对分级诊疗和家庭医生签约服务认知情况尚可;应积极落实家庭医生签约服务,提升基层医疗卫生服务能力,从而促进分级诊疗制度顺利实施。

Objective To explore the satisfaction with community health services and its associated factors among Shijiazhuang's community-dwelling residents,providing a reference for the improvement of the quality of such services.Methods We conducted this field survey in a stratified random sample of 1 047 patients from 8 community health centers in Shijiazhuang City during December 2016 to January 2017 with a self-administered questionnaire for obtaining the data regarding demographic characteristics,perceptions of the contracted family doctor services,and prevalence of signing the contract,and satisfaction with community health services.The survey results of 1 031 respondents were analyzed using statistical description,χ2 test and Logistic regression analysis by statistical software.Results The signing rate of family doctors in 1 031 patients was 86.42%(891/1 031).The percentage of respondents who were satisfied with community health services was 97.09%(1 001/1 031).Logistic regression analysis showed that physicians'professional level,satisfaction with the contracted family doctor and the total cost of community health services were significantly associated with community-dwelling residents'satisfaction with community health services(P<0.05).Conclusion Shijiazhuang's community-dwelling residents demonstrated a relatively high level of satisfaction with community health services,and a fair level of perception of hierarchical diagnosis and treatment and contracted family doctor services.Given these conditions,the implementation of contracted family doctor services should be promoted,and the capabilities of primary care should be improved to facilitate the development of the hierarchical medical system.