CAJ | 학술논문

目的了解新医改背景下上海市居民对基层医疗卫生服务的满意度.方法采用分层抽样方法,选取上海市中心城区、城乡结合区和郊区9家社区卫生服务中心,采用自行设计问卷对2 250名门诊患者就其对基层医疗卫生服务满意度进行测评.结果居民对新医改的满意率为85.2％；对基本医疗保障制度的满意率为85.0％；对基层医疗服务比较满意,满意率为96.5％；对基本公共卫生服务的满意率为95.1％.年龄、城乡、职业、文化程度和收入是居民对基层医疗卫生服务满意度的主要影响因素.结论总体而言,上海市居民对基层医疗卫生服务满意度较高,但也存在一些问题值得关注,如基本医疗保险保障水平和报销手续仍有待提高、基层医疗卫生机构的诊疗费用仍需合理控制和基本药物无法完全满足基层医疗机构的用药需要.
목적 료해신의개배경하상해시거민대기층의료위생복무적만의도.방법 채용분층추양방법,선취상해시중심성구、성향결합구화교구9가사구위생복무중심,채용자행설계문권대2 250명문진환자취기대기층의료위생복무만의도진행측평.결과 거민대신의개적만의솔위85.2％；대기본의료보장제도적만의솔위85.0％；대기층의료복무비교만의,만의솔위96.5％；대기본공공위생복무적만의솔위95.1％.년령、성향、직업、문화정도화수입시거민대기층의료위생복무만의도적주요영향인소.결론 총체이언,상해시거민대기층의료위생복무만의도교고,단야존재일사문제치득관주,여기본의료보험보장수평화보소수속잉유대제고、기층의료위생궤구적진료비용잉수합리공제화기본약물무법완전만족기층의료궤구적용약수요.
Objective The research was to achieve Shanghai resident satisfaction of primary health service after new health reform.Methods During self-compiled questionnaire survey,the research adapted stratified random sampling to select 9 community health centers in Shanghai urban,rural and suburb areas.Results Shanghai resident satisfaction rate of new health reform was 85.2％.Satisfaction rate of basic medical security system was 85.0％.Satisfaction rate of basic medical service was 96.5％.Satisfaction rate of basic public health service was 95.1％.Age,region,job,education and income were main factors to satisfaction of primary health service.Conclusion From an overall point of view,Shanghai resident satisfaction of primary health service after new health reform was high.However,the level of basic medical security and convenience of reimbursement were not high.Medical expenses of primary health care institution had not been effectively controlled.Basic medicine could not fully meet the medication needs of primary health care institutions.