CAJ | 학술논문

目的：了解南京市居民对社区卫生服务中心的满意度及其影响因素，为改善社区卫生服务中心的运营管理提供决策依据。方法2013年5-6月，选取南京市中心城区的鼓楼区和白下区、郊区的江宁区和浦口区各两个社区卫生服务中心作为研究现场，对487名社区居民（其中中心城区241人，郊区246人）进行拦截式满意度调查，并采用统计描述、单因素广义线性模型（GLM）相关回归分析与最优尺度回归分析相结合的方法进行结果分析。结果中心城区利用者对社区卫生服务中心的技术水平满意度最低（60.1%，145人），而郊区利用者对社区卫生服务中心的设备设施满意度最低（54.9%，135人），中心城区和郊区利用者对社区卫生服务中心总体满意度间差异无统计学意义（χ2=4.056，P =0.132）。单因素 GLM 相关回归分析和最优尺度回归分析结果显示，中心城区和郊区利用者对社区卫生服务中心总体满意度的影响因素有所不同，但均受年龄和医疗费用支付方式的影响。结论南京市中心城区与郊区社区卫生服务利用者总体满意度无差异，年龄、医疗费用支付方式是其主要影响因素。各级政府对社区卫生服务中心的整体管理，应从影响社区卫生服务利用者满意度的主要因素着手，因地制宜出台相应的配套政策，保证我国社区卫生服务体系建设的顺利开展。
목적：료해남경시거민대사구위생복무중심적만의도급기영향인소，위개선사구위생복무중심적운영관리제공결책의거。방법2013년5-6월，선취남경시중심성구적고루구화백하구、교구적강저구화포구구각량개사구위생복무중심작위연구현장，대487명사구거민（기중중심성구241인，교구246인）진행란절식만의도조사，병채용통계묘술、단인소엄의선성모형（GLM）상관회귀분석여최우척도회귀분석상결합적방법진행결과분석。결과중심성구이용자대사구위생복무중심적기술수평만의도최저（60.1%，145인），이교구이용자대사구위생복무중심적설비설시만의도최저（54.9%，135인），중심성구화교구이용자대사구위생복무중심총체만의도간차이무통계학의의（χ2=4.056，P =0.132）。단인소 GLM 상관회귀분석화최우척도회귀분석결과현시，중심성구화교구이용자대사구위생복무중심총체만의도적영향인소유소불동，단균수년령화의료비용지부방식적영향。결론남경시중심성구여교구사구위생복무이용자총체만의도무차이，년령、의료비용지부방식시기주요영향인소。각급정부대사구위생복무중심적정체관리，응종영향사구위생복무이용자만의도적주요인소착수，인지제의출태상응적배투정책，보증아국사구위생복무체계건설적순리개전。
Objective To investigate the satisfaction and influencing factors of the community health service centers (CHCs)among Nanjing residents,in order to provide reference for strategies of improving the operation management of the serv-ice centers. Methods 4 CHCs in zhonglou district and BaiXia district of city centers,4 CHCs in Jiangning district and Pukou district of rural areas were chosen as the research field,where 487 residents(241 city residents,246 rural residents)were inves-tigated about the satisfaction degree by stratified random sampling method. The results were analyzed by statistical description, GLM analysis combining with optimal scaling regression analysis. Results Urban residentsˊ satisfaction on technical level was the lowest(60. 1% ,145)while rural residentsˊ satisfaction on equipment and facilities was the lowest(54. 9% ,135). There was no significant difference on overall satisfaction between the urban and rural residents(χ2 = 4. 056,P = 0. 132). GLM and opti-mal scaling regression analysis showed that the influencing factors of overall satisfaction on community health service centers were different,but they were all influenced by age and paying ways. Conclusion The overall satisfaction was no difference between the urban and rural residents. Age and paying ways were major influencing factors. The government should embark from the main influencing factors for residentsˊ satisfaction and make relevant policy according to the local conditions to ensure community health service system run smoothly.