摘要
目的对浙江省湖州市卫生系统的反应性进行调查和分析。方法运用WHO反应性绩效的评价方法进行反应性研究。以2007年浙江省湖州市当地居民作为调查对象,采用多阶段整群分层抽样方法获取样本;资料源自入户调查,内容涉及尊严、自主性、保密性、交流、及时关注、基础设施质量、社会支持网络和医护人员选择等,对所获资料数据进行实证分析。结果入户调查1353人,其中城镇人口占28.16%,农村人口占71.84%。湖州市卫生系统反应性水平指数为7.96,略高于浙江省卫生系统的7.71。在自主性、交流和及时关注方面,农村的反应性明显高于城镇街道(P<0.05);而在保密性和医护人员选择性方面,城镇反应性明显高于农村(P<0.05)。结论湖州市卫生系统总体反应性处于较好水平;城乡差距缩小,公平性有所改善。建议加大农村医疗人员的数量,确保农民能够得到充足的医疗服务;提高农村医务工作者素质,保证农民就医私隐;重视弱势群体,进一步提高卫生系统的公平性。
Objective To analyse the health system responsiveness of Huzhou of Zhejiang Province. Methods Performance evaluation method proposed by WHO was employed for the study of responsiveness. The local residents of Huzhou of Zhejiang Province in 2007 were investigated with multilevel cluster stratified sampling. Data were obtained by household survey and involved items such as dignity,independence,privacy,communication,timely attention,equipment,social support and selection of medical staff,and were subjected to empirical analysis. Results Household survey was conducted in 1353 residents,among whom 28.16% lived in town and 71.84% lived in countryside. The index of health system responsiveness of Huzhou was 7.96,slightly higher than that of Zhejiang Province （7.71）. The responsiveness was significantly higher for countryside than that for town in independence,communication and timely attention （P〈0.05）,while that was significantly higher for town than that for countryside in privacy and selection of medical staff （P〈0.05）. Conclusion The health system responsiveness of Huzhou is favorable,with less difference between town and countryside and improved fairness. More qualified medical staff should be employed to ensure the better service for countryside residents,and the fairness of medical service be further improved with more attention being paid to the vulnerable groups.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2009年第3期276-278,共3页
Journal of Shanghai Jiao tong University:Medical Science
基金
国家科技部基金(2007GXS3BO49)
国家卫生部基金(2008PF04)~~
关键词
卫生系统
反应性
评价
公平性
城镇
农村
health system
responsiveness
evaluation
fairness
town
countryside
