基层医疗卫生机构提供老年运动健康管理服务满意度分析

Satisfaction of exercise-behavior health management services provided by community medical and health institution of older adults

目的了解基层医疗卫生机构提供老年运动健康管理服务现状及其满意度,分析相关影响因素,为进一步提升基层医疗卫生机构老年运动健康管理服务质量提供基础。方法采取分层-整群随机抽样方法,抽取354名70岁以上老年人。结果社区医生问诊运动锻炼情况、给予运动锻炼建议和给出具体运动指导的频率均以“偶尔”比例最高,分别占59.89%、49.43%和51.69%,“从未”分别占15.25%、28.25%和37.85%。多因素分析显示,老年人对社区医疗卫生机构提供运动健康管理服务满意度与年龄、文化程度、慢性病现患状况、社区医生给予运动锻炼建议的频率和社区医生给出具体运动指导的频率有关。结论基层医疗卫生机构面向老年人的运动健康管理服务提供满意度水平有待提高。建议社区医生在提供基本公共卫生服务时,应经常性地给予老年人运动锻炼的建议,并给出具体的运动指导,提升基层医疗卫生机构老年人运动健康管理服务满意度。

Objective To explore the satisfaction of exercise-behavior health management services provided by community medical and health institution of older adults, and analyze relevant influencing factors so as to provide basis for further improving the quality of exercise-behavior health management services for the elderly. Methods A stratified-clustered randomized sampling method was used to select 354 elderly people aged 70 years old. Results The frequency ‘sometimes’ of exercise-behavior inquiry, exercise-behavior advice and exercise-behavior guidance by community doctors was the highest, with 59.89%, 49.43% and 51.69%, respectively, while the frequency ‘never’ accounted for 15.25%, 28.25% and 37.85%, respectively. Multiple-factor analysis showed that satisfaction of exercise-behavior health management services were statistically related with age, education level, current status of chronic diseases, the frequency of exercise-behavior advice by community doctors and the frequency of exercise-behavior guidance by community doctors. Conclusion The level of exercise-behavior health management services provided by community medical and health institution for the elderly is still not high. It is suggested to further improve the frequency of exercise-behavior health management services provided by community medical and health institution and increase the specific contents of doctors orders directing to older adults. It is suggested that community doctors should regularly give suggestions on exercise and give specific guidance on exercise for the elderly when providing basic public health services.