邻里中心卫生单元对提升政府卫生服务影响研究.docVIP

邻里中心卫生单元对提升政府卫生服务影响研究 　　摘 要 目的：探索邻里中心卫生单元对提升政府卫生服务及居民对家庭医生服务满意度、信任度的影响。方法：采用简单随机抽样方法分别在邻里中心卫生单元和社区卫生服务站各选取725名、777名居民进行问卷调查。结果：邻里中心卫生单元与社区卫生服务站的调查对象中，知晓家庭医生服务的、已签约的、选择社区医生为首诊医生的及通过预约就诊的居民分别占93.2%与90.6%（P=0.078）、33.9%与28.6%（P=0.031）、68.7%与63.8%（P=0.047）及50.5%与45.2%（P=0.043）；两组调查对象对家庭医生制服务的总体满意度均较高（分别为3.20±0.57与3.13±0.68，P=0.034）；信任度测量显示两组调查对象在社区医生能否优先考虑居民医疗需求、医疗技术及保密性方面的差异存在统计学意义（P0.05）。结论：邻里中心卫生单元对提高家庭医生制服务的知晓率无明显作用，但能显著提升家庭医生制服务的签约率、社区医生首诊率及居民就诊预约率。同时提升居民对家庭医生在就医便捷、上门诊疗、服务态度、健康宣教和心理咨询方面的满意度和优先考虑医疗需求、医疗技术及保密性方面的信任度。 　　关键词 邻里中心；卫生单元；政府卫生服务；满意率；信任度 　　中图分类号：R197.1 文?I标志码：A 文章编号：1006-1533（2017）20-0008-04 　　Study of the influence of health unit of neighborhood center on the promotion of government health services 　　ZHAO Weizhong1， JIA Jie2， HE Zhongming3， LIU Mei1， LU Haifeng1（1.Maqiao Community Health Service Center of Minhang District， Shanghai 201111， China； 2.Rehabilitation Department， Huashan Hospital affiliated to Fudan University， Shanghai 200040， China； 3. Minhang Branch attached High School of Shanghai Normal University， Shanghai 201112， China） 　　ABSTRACT Objective： To explore the influence of health unit of neighborhood center on the promotion of government health services and the satisfaction and trust of residents to the family doctor service. Methods： According to the simple random sampling method， a questionnaire survey was conducted among 725 and 777 residents in the health unit of neighborhood center and community health service station， respectively. Results： Among respondents in the health unit of neighborhood center and the community health service station， the rates of knowing the family doctor service， signing family doctor service， selecting community physicians as the first visit doctors and making a medical appointment were 93.2% and 90.6%（P=0.078）， 33.9% and 28.6%（P=0.031）， 68.7% and 63.8%（P=0.047）， 50.5% and 45.2%（P=0.043）， respectively. The overall satisfaction of the two groups on the family doctor system service was higher（3.20±0.57 an