当前居民医疗卫生公共服务满意度感知结构研究

On Today's Perceptual Structure of Public Health Service Satisfaction of Residents

转型期的中国,医疗保障和医疗卫生服务改革成为政府着力推进改革的重要领域,而提高医疗卫生公共服务水平是改善民生、提高居民幸福指数的关键所在。通过当前我国居民对政府医疗卫生公共服务满意度的系统分析,可以揭示这一满意度显示的感知结构与相关问题。研究发现:我国居民对医疗卫生公共服务总体满意度尚存在较大的提升空间;在11类医疗卫生公共服务项目中,卫生监督协管、药品安全管理、基本药物制度3类公共服务的评分均值相对最低。居民的满意度感知结构可以分为"疾病预防与管理满意度"和"药品管理与卫生监督满意度"2个构念,并且总体满意度更易受到"疾病预防与管理满意度"的影响。

In the transitional period in China,the reform of medical security and service has become one of significant areas that the government makes great efforts to push.The improvement of public services in health care is the key to that of residents’livelihood and happiness index.This study systematically analyzes residents’satisfaction of public health services in China,measures the level of satisfaction,and discusses the structure of satisfaction perception.It shows that the average score of residents’overall satisfaction of public health services in China is 65.99,which still has a large room for improvement.In the 11 types of public health service projects,the average scores of the three types of public services such as“health supervision and management”,“drug safety management”and“basic drug system”are the lowest.Residents’perception structure can be divided into two constructs,that is,“disease prevention and management satisfaction”and“drug management and health supervision satisfaction”,and the overall satisfaction of residents is more susceptible to the former.