广州市首轮结直肠癌筛查满意度调查

Survey on Satisfaction for the First Round Colorectal Cancer Screening Program in Guangzhou

[目的]了解居民对广州市首轮结直肠癌筛查项目的满意情况。[方法]采用分层随机抽样方法,从广州市结直肠癌筛查登记系统抽取2015年1月至2017年12月参与筛查的居民,包括初筛阴性、初筛阳性未做肠镜、初筛阳性已做肠镜3类,以问卷形式开展调查。[结果]完成问卷调查591份。结果显示,居民对结直肠癌筛查项目总体满意率为93.40%,对初筛的满意率(94.42%)高于肠镜检查(88.93%),P<0.05。居民对社区卫生服务中心的满意率为95.77%,不满意原因主要包括未通知筛查结果(24.00%)及筛查时间较长(20.00%);对社区卫生服务中心医务人员的满意率为94.92%,不满意的原因主要是医务人员服务态度较差(46.67%);对肠镜检查的满意率为88.93%,不满意的主要原因包括检查时感觉不舒服/疼痛(29.73%),医生操作不熟练/技术水平低(10.81%)及查出息肉未予以切除(10.81%)。78.14%肠镜检查者选择在去定点医院,未去定点医院的主要原因包括定点医院较远/交通不方便(31.51%),医生没明确介绍定点医院(17.81%)以及认为定点医院的技术水平低(16.44%)。[结论]广州市居民对首轮结直肠癌筛查的总体满意度较高,后续筛查中,行政及技术部门应对不满意的环节采取针对性措施,包括改善社区筛查流程、推广无痛肠镜及优化定点医院选点等,为市民提供更优质的筛查服务。

[Purpose] To investigate the satisfaction for the first round of colorectal cancer screening program in Guangzhou. [Methods] Based on the colorectal cancer screening program and registration system of Guangzhou,the residents who participated in the screening from January 2015 to December 2017 were selected by stratified random sampling method. The subjects those who were primary screening negative,primary screening positive without colonoscopy and primary screening positive with colonoscopy were included. Satisfaction survey was carried out by telephone in the form of questionnaire. [Results] Five hundred and ninety-one residents completed the survey,and the results showed that the overall satisfaction rate for the colorectal cancer screening was 93.40%,the satisfaction rate of primary screening(94.42%) was higher than that of colonoscopy(88.92%)(P<0.05). The satisfaction rate for the community health service center was 95.77%;the main reasons for dissatisfaction included no notification of screening result(24.00%),and long screening time(20.00%). The satisfaction rate for the medical staff in the community health service center was94.92%,and the main reason for dissatisfaction was the poor service attitude of medical staff(46.67%). The satisfaction rate for colonoscopy was 88.93%;the main reasons for dissatisfaction included discomfort/pain during examination(29.73%),unskilled procedure/lower competency level of doctors(10.81%),and not removing polyps(10.81%). 78.4% of the subjects who completed colonoscopy chose the designated hospital. The main reasons for not going to the designated hospital included the long distance/inconvenient transportation(31.51%),no clear information about the designated hospital(17.81%) and no confidence to the designated hospital(16.44%). [Conclusion] The overall satisfaction for the first round of colorectal cancer screening program in Guangzhou is high. In the next screening,corresponding measures should be taken to deal with the unsatisfied factors,including improving the community screening process,promoting painless colonoscopy,and optimizing the selection of designated hospitals,so as to provide high-quality screening services for the public.