论文部分内容阅读
目的探讨居民对社区片医负责制服务模式的认知和利用状况,为社区卫生服务可持续发展和有关政策提供科学依据。方法对片医负责制“示范中心”辖区居民323名、“非示范中心”辖区居民314名进行问卷调查,收集对社区卫生服务的认知、患病时首选、就诊首选原因、到达机构的时间,以及对社区卫生服务机构的建议等指标。结果①示范中心与非示范中心辖区居民了解社区卫生服务分别占被访者的96.28%和64.01%。②示范中心有87.92%的辖区居民在患病时首选社区卫生服务机构,而非示范中心仅有56.05%的辖区居民在患病时首选社区卫生服务机构。③对患病时首选社区卫生服务站的辖区居民进行原因调查,示范中心辖区居民因距离近、费用低、态度好、对医生熟悉的选择比例均明显高于非示范中心。④示范中心辖区居民有83.90%的人在5分钟以内能到达社区卫生服务机构;而非示范中心辖区居民仅有35.35%的人在5min以内能到达社区卫生服务机构。⑤示范中心辖区居民对社区卫生服务机构整体评价十分满意、满意、基本满意的比例分别为86.69%、7.12%、4.02%,不满意的比例仅为2.17%。非示范中心辖区居民对社区卫生服务机构十分满意、满意、基本满意的比例分别为31.43%、6.05%、30.25%,不满意的比例为31.21%,两区比较其差异有显著性意义。结论片医负责制这种新型的社区卫生服务模式,为辖区居民提供了方便快捷的医疗卫生服务,深受辖区居民欢迎。
Objective To explore the residents’ cognition and utilization of community medical service system and to provide a scientific basis for the sustainable development of community health services and related policies. Methods We conducted a questionnaire survey among 323 residents of the “Model Center” and “314 residents of the non-demonstration center” under the jurisdiction of the medical doctor and collected the opinions on the community health services, Time to reach the organization, and recommendations for community health services. Results ①There was 96.28% and 64.01% respectively of residents in the demonstration center and non-demonstration center area knew that community health services accounted for the respondents. (2) 87.92% of the residents in the demonstration center are the preferred community health service agencies when they are sick, while only 56.05% of the residents in the non-demonstration center are preferred community health service institutions when they are sick. (3) Investigate the causes of residents who are the preferred community health service centers in the affected area. The residents in the demonstration center are obviously more likely than the non-demonstration centers due to their proximity, low cost and good attitude. (4) 83.90% of the residents in the demonstration center area reach the community health service within 5 minutes; only 35.35% of the residents in the non-demonstration center area reach the community health service within 5 minutes. ⑤ Residents in the center of the demonstration center are very satisfied with the overall evaluation of community health service agencies, and the proportions satisfied and basically satisfied are 86.69%, 7.12% and 4.02% respectively, while the unsatisfactory proportion is only 2.17%. The residents in non-demonstration center area are very satisfied with the community health service agencies, and the proportions satisfied and basically satisfied are respectively 31.43%, 6.05% and 30.25%, and the unsatisfactory proportion is 31.21%. There is significant difference between the two districts in comparison. Conclusion The doctor-in-charge is responsible for this new model of community health service, which provides convenient and quick medical and health services for the residents in the area and is well received by the residents in the area.