| 引用本文：谷茜,胡献之,梁斐,等.基于患者视角的公立医疗机构公益性评价[J].中国卫生政策研究,2012,5(12):8-12 |
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| 基于患者视角的公立医疗机构公益性评价 |
| 投稿时间：2012-09-27 修订日期：2012-10-22 PDF全文浏览 HTML全文浏览 |
| 谷茜1, 胡献之1, 梁斐1, 刘文彬1, 邓伟1, 董斌2, 赵列宾2, 庞伟明3, 陈英耀1 |
| 1.复旦大学公共卫生学院;2.上海交通大学医学院;3.加拿大劳伦森大学乡镇和北部服务研究所 |
| 摘要:目的：分析患者对医疗机构公益性的评价，探讨医疗机构公益性评价的影响因素。方法：抽取3个省份48家医疗机构调查5 760名病人，采用描述性方法分析患者的基本特征和公益性评价结果，以logistic回归方法进行多因素分析。结果：患者对公立医疗机构公益性的总体满意率为824%。公立医疗机构公益性评价的影响因素包括整体环境、就诊流程、就诊费用、义诊次数、适度检查、合理处方、经济困难病人先诊疗后收费、医保和自费病人平等对待、就诊医院级别和医院所在地区等。结论：患者对公立医疗机构的整体公益性评价较高。医疗机构整体环境、就医流程、服务适宜性以及公平性可作为医疗机构公益性进一步改善的切入点。 |
| 关键词:公益性 评价 医疗机构 患者 |
| 基金项目:国家自然科学基金（70973025） |
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| Analysis on social responsibility evaluation of public medical institutions based on patients’ perspective |
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| Abstract:Objective: This research is to analyse patients’ social responsibility evaluation results of health institutions and to discuss the evaluation influencing factors Method: 5 760 patients in 48 public medical institutions were surveyed in three provinces It described the survey samples’ basic situation and the results of social responsibility evaluation Logistic regression was used to analyse the influencing factors of social responsibility evaluation Result: The main patients’ satisfactory rate of social responsibility was 824% The influencing factors of social responsibility evaluation were including environment, medical procedure, cost, user free services, appropriate examination, reasonable prescription, diagnosis and treat without payment for poor patients, equal entitlement for patients with or without insurance, hospital level and hospital location Conclusion: The patients’ evaluation of social responsibility is relatively good The environment, medical procedure, medical service appropriateness and equity could be the entry point of improving social responsibility |
| Key words:Social responsibility Evaluation Medical institutions Patients |
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