中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
25期
3016-3018
,共3页
社区居民%就医行为%满意度
社區居民%就醫行為%滿意度
사구거민%취의행위%만의도
Community residents%Medical care conducts%Satisfaction
目的 了解东营市社区居民就医行为,分析存在的主要问题,为完善社区卫生服务模式提供科学依据.方法 运用分层整群抽样的方法,采用自行设计的“就医行为及社区卫生服务状况调查表”调查东营市4个社区400名居民的就医行为.结果 共发放问卷400份,回收有效问卷330份,有效回收率为80.25％.63.0％居民患小病后未就医,选择到大医院就诊的占12.7％,选择社区卫生服务中心就诊占14.2％,选择到私人诊所就诊的占10.1％.不同性别、年龄、文化程度及医疗费用的支付形式的居民就医行为不同,差异均有统计学意义(x2分别为51.0,106.5,16.3,31.8;P ＜0.01).不同年龄阶段居民选择医疗机构的考虑因素及对社区服务中心的满意度差异均有统计学意义(x2分别为15.7,44.7;P ＜0.01).结论 整合资源,构建有效的社区卫生服务模式；规范社区卫生服务机构收费制度,引导居民合理就医.
目的 瞭解東營市社區居民就醫行為,分析存在的主要問題,為完善社區衛生服務模式提供科學依據.方法 運用分層整群抽樣的方法,採用自行設計的“就醫行為及社區衛生服務狀況調查錶”調查東營市4箇社區400名居民的就醫行為.結果 共髮放問捲400份,迴收有效問捲330份,有效迴收率為80.25％.63.0％居民患小病後未就醫,選擇到大醫院就診的佔12.7％,選擇社區衛生服務中心就診佔14.2％,選擇到私人診所就診的佔10.1％.不同性彆、年齡、文化程度及醫療費用的支付形式的居民就醫行為不同,差異均有統計學意義(x2分彆為51.0,106.5,16.3,31.8;P ＜0.01).不同年齡階段居民選擇醫療機構的攷慮因素及對社區服務中心的滿意度差異均有統計學意義(x2分彆為15.7,44.7;P ＜0.01).結論 整閤資源,構建有效的社區衛生服務模式；規範社區衛生服務機構收費製度,引導居民閤理就醫.
목적 료해동영시사구거민취의행위,분석존재적주요문제,위완선사구위생복무모식제공과학의거.방법 운용분층정군추양적방법,채용자행설계적“취의행위급사구위생복무상황조사표”조사동영시4개사구400명거민적취의행위.결과 공발방문권400빈,회수유효문권330빈,유효회수솔위80.25％.63.0％거민환소병후미취의,선택도대의원취진적점12.7％,선택사구위생복무중심취진점14.2％,선택도사인진소취진적점10.1％.불동성별、년령、문화정도급의료비용적지부형식적거민취의행위불동,차이균유통계학의의(x2분별위51.0,106.5,16.3,31.8;P ＜0.01).불동년령계단거민선택의료궤구적고필인소급대사구복무중심적만의도차이균유통계학의의(x2분별위15.7,44.7;P ＜0.01).결론 정합자원,구건유효적사구위생복무모식；규범사구위생복무궤구수비제도,인도거민합리취의.
Objective To investigate the medical care conducts of community residents of Dongying and analyze the main problem in order to provide the evidence for optimizing the community health service model.Methods Stratified cluster sampling method was used,and 330 community residents in 4 communities were investigated with questionnaire about the medical care conducts.Results Among 330 residents,63％ of them did not attend medical clinics after getting minor illnesses,only 12.7％ of them chose to check up in large hospitals,and 14.2％ went to the community services.However,there were 10.1％ of the population attended private clinics.These medical care conducts were significantly related to gender,age,education level,and the payment patterns (x2 =51.0,106.5,16.3,31.8;P ＜0.05).Health condition has no effect on the residents' medical care conducts (x2 =11.3;P ＞ 0.05 ). Residents with different ages had significantly different influencing factors of choosing medical institution,and different their satisfaction on community service center ( x2 =15.7,44.7 ;P ＜ 0.01 ).Conclusions It should be encouraged to integrate the medical resources in order to establish the effective community services.The charge standards of medical procedures should be restricted by authority policies,and the residents should be guided to attend clinics in an appropriate way with reasonable payment.
