摘要
背景国家基本公共卫生服务项目是一项免费、惠及所有居民的福利性政策,是健康中国战略不可或缺的一部分,政府财政投入逐年增大,但是各省实施效果有待调查。目的调查广东省居民对国家基本公共卫生服务项目的知晓率和满意度,为改善服务质量、提升居民获得感提供依据。方法 2018年3月,采用配额抽样方法,对广东省21地市2 100例居民(每地市抽取100例居民,其中孕产妇6例,0～6岁儿童家长18例,老年人8例,慢性病患者6例)进行电话问卷调查。采用知晓率调查问卷调查2 100例居民对14类(15项)国家基本公共卫生服务项目的知晓率、知晓途径,知晓率以知晓其中≥6项免费服务项目定义为知晓。采用满意度调查问卷调查接受过14类项目中的任何一类或几类服务项目的 1 330例居民对获得基本公共卫生服务的便利程度、基本公共卫生服务对改善健康的作用、医务人员的技术水平及服务态度、是否愿意继续接受服务5个方面的满意度。采用Spearman相关分析知晓率与总体满意度的相关性。结果广东省居民对国家基本公共卫生服务项目免费服务政策的总体知晓率为13.52%(284/2 100)。15个项目中,预防接种知晓率最高,为39.90%(838/2 100),中医药健康管理知晓率最低,为8.19%(172/2 100)。通过社区宣传栏/告示知晓基本公共卫生服务项目免费服务政策的比例最高,占53.56%(143/267),其次为通过手机微信/短信知晓,占48.69%(130/267)。广东省居民总体满意度为75.19%(25 001/33 250),其中,愿意由基层医疗卫生机构继续提供基本公共卫生服务项目的满意度最高,为82.87%(5 511/6 650);对基层医疗卫生机构医务人员的服务技术水平满意度最低,为70.17%(4 666/6 650)。知晓率与总体满意度呈正相关(rs=0.189,P<0.001)。结论广东省居民对国家基本公共卫生服务项目政策知晓率和满意度均较低,应从加大宣传力度、提高基层
Background The implementation of China’s national essential public health services is a free public welfare for Chinese residents,and an indispensible part of the strategies for building a "Healthy China".The governmental investment for the implementation of these services is increasing year by year,but the effect of the implementation in each province is unclear.Objective To investigate the levels of awareness and satisfaction with the national essential public health services in Guangdong residents,providing a basis for improving the quality of such services and enhancing residents’ sense of gain.Methods In March 2018,by quota sampling,100 residents,including 38 priority adult individuals(consisting of 6 pregnant and puerperant women,18 parents of 0-6-year-old children,8 elderly people and 6 with chronic diseases) and 62 normal adult individuals,were selected from each of 21 prefecture-level cities of Guangdong Province(totaled 2 100).All of them received a telephone-based survey with the questionnaire,Awareness of the China’s National Essential Public Health Services,for collecting the approaches to know the knowledge about the 15 essential public health services(14 categories) and the awareness level of such services.Residents who knew at least 6 services were identified as having qualified awareness level.A total of 1 330 of the 2 100 residents who had received at least 1 category of such services also received a telephone survey with the questionnaire.Satisfaction with the China’s National Essential Public Health Services,for collecting the level of satisfaction with convenience in accessing to such services,effect of such services on improving health,practical skills of healthcare providers and their attitude in delivering such services,and intention of continuing to receive such services.Spearman correlation analysis was used to investigate the correlation between residents’ awareness level and overall satisfaction level of such services.Results The overall awareness rate of the free national es
作者
郝爱华
李翠翠
潘波
HAO Aihua;LI Cuicui;PAN Bo(Guangdong Institute of Public Health,Guangzhou 511430,China;Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,China)
出处
《中国全科医学》
CAS
北大核心
2019年第4期407-412,共6页
Chinese General Practice
关键词
国家基本公共卫生服务项目
公共卫生
卫生保健调查
居民满意度
知晓率
电话调查
广东
National essential public health services
Public health
Health care surveys
Resident satisfication
Awareness
Telephone survey
Guangdong
