深圳市劳务工和非劳务工社区卫生服务利用及满意度对比分析

 
投稿时间: 2015-09-14  最后修改时间: 2016-01-29  摘要点击次数: 2350  全文下载次数: 1439
 
引用本文:王洪锐, 邱创良, 邓剑,等.深圳市劳务工和非劳务工社区卫生服务利用及满意度对比分析[J].中国卫生政策研究,2016,9(2):31-35
王洪锐1, 邱创良1, 邓剑1, 周艳凤2, 李丽清2,3, 董晓欣2, 卢祖洵2
1. 深圳市宝安区福永人民医院社区健康服务管理中心 广东 深圳 518103;
2. 华中科技大学同济医学院公共卫生学院 湖北 武汉 430030;
3. 江西科技师范大学经济管理学院 江西 南昌 330031
基金项目:国家自然科学基金(71373090;71163016)
 
 摘要:目的:了解劳务工和非劳务工对社区卫生服务利用情况及其满意度。方法:在深圳市宝安区随机抽取街道及其社区卫生服务中心,以拦截调查的方式共调查社区卫生服务利用者8000人,运用SPSS18.0软件对数据进行统计分析。结果:劳务工最近一年到社区卫生服务中心就诊次数为3次及以上的比例高于非劳务工,差异有统计学意义(P<0.0001);劳务工和非劳务工就诊人群满意度前三位分别是服务态度(73.29%,73.46%)、技术水平(65.29%,67.50%)、看病方便(63.16%,64.98%);73.47%的就诊者愿意接受社区首诊制,劳务工人群相比非劳务工人群更愿意接受社区首诊(74.16%,69.71%)。讨论:深圳市劳务工社区首诊制的实施使居民社区卫生服务利用有所提高,劳务工和非劳务工对社区卫生服务的满意度较高,且差别不大。以深圳为借鉴,在全国逐步推进社区首诊制具有一定的可行性。 
  关键词:社区卫生服务  社区首诊  满意度
 
Utilization of and satisfaction at community health service: Comparative analysis between migrant workers and non-migrant workers in Shenzhen
WANG Hong-rui1, QIU Chuang-liang1, DENG Jian1, ZHOU Yan-feng2, LI Li-qing2,3, DONG Xiao-xin2, LU Zu-xun2
1. Community Health Service Management Center, Fuyong People's Hospital, Baoan Shenzhen Guangdong 518103, China;
2. School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei 430030, China;
3. School of Economics and Management, Jiangxi Science & Technology Normal University, Nanchang Jiangxi 330031, China
 
 Abstract:Objective:To explore the utilization of and satisfaction at community health service between migrant and non-migrant workers in Shenzhen city. Methods:Random sampling was used and 8000 community residents in Shenzhen city were investigated, and the data was analyzed with SPSS 18.0. Results:There was statistically significant difference on the times of seeking community health services last year between migrant workers and non-migrant workers(P<0.0001), and the proportion of more than three times service utilization of migrant workers were greater than that of non-migrant workers. The top three elements inpluencing satisfaction at community health service between migrant and non-migrant workers were service attitude(73.29% vs. 73.46%), technical level(65.29% vs. 67.50%), and its convenience of seeking a doctor(63.16% vs. 64.98%). 73.47% of users(migrant workers:74.16%, non-migrant workers:69.71%) were willing to accept the system of first contact in community health institutions. Conclusions:The utilization of community health service has increased since implementing the system of first contact in community health institutions. Both migrant workers and non-migrant workers were very satisfied with the community health services, and the differences on satisfaction between the two groups were not significant. It is feasible to gradually promote the system of first contact in community health institutions over China. 
 keywords:Community health service  Community first contact care  Satisfaction