CAJ | 학술논문

目的：对哈尔滨地区院办院管与政府办管的社区卫生服务机构居民满意度进行对比分析，说明政府办管的社区卫生服务机构的优势。方法随机选取2013年3月-2014年6月哈尔滨地区采用“院办院管”模式社区卫生服务机构和“政府办管”社区卫生服务机构各150名居民作为研究对象，通过居民调查问卷的方式对该两种社区卫生服务机构模式的满意度进行对比研究。满意方向包括：医护人员的服务态度、医疗设备及就医费用、就诊流程、就诊方便程度、就诊时间、解释及交流、疗效、健康宣传教育等。结果“院办院管”和“政府办管”的调查问卷回收率分别为94%、95.3%；其中就诊价格、药品价格、设施设备、就诊方便程度、候诊时间的满意度显示，“院办院管”低于“政府办管”且具有统计学意义（P<0.05）；对医护人员服务态度、解释与交流、疗效的满意度无明显差异（P>0.05）；两种模式的居民基本情况无差异性（P>0.05）。结论通过调查研究发现“政府办管”模式整体上达到预期效果，居民满意度较高，能够给予居民较为满意的社区卫生服务，但在就诊及药品价格等方面还有不足，仍需改进。
목적：대합이빈지구원판원관여정부판관적사구위생복무궤구거민만의도진행대비분석，설명정부판관적사구위생복무궤구적우세。방법수궤선취2013년3월-2014년6월합이빈지구채용“원판원관”모식사구위생복무궤구화“정부판관”사구위생복무궤구각150명거민작위연구대상，통과거민조사문권적방식대해량충사구위생복무궤구모식적만의도진행대비연구。만의방향포괄：의호인원적복무태도、의료설비급취의비용、취진류정、취진방편정도、취진시간、해석급교류、료효、건강선전교육등。결과“원판원관”화“정부판관”적조사문권회수솔분별위94%、95.3%；기중취진개격、약품개격、설시설비、취진방편정도、후진시간적만의도현시，“원판원관”저우“정부판관”차구유통계학의의（P<0.05）；대의호인원복무태도、해석여교류、료효적만의도무명현차이（P>0.05）；량충모식적거민기본정황무차이성（P>0.05）。결론통과조사연구발현“정부판관”모식정체상체도예기효과，거민만의도교고，능구급여거민교위만의적사구위생복무，단재취진급약품개격등방면환유불족，잉수개진。
Objective The purpose of community health services in Harbin Yuanban government-run hospital pipe and tube resident satisfaction comparative analysis shows the advantages of government-run canal community health services. Methods Randomly selected in March 2013 -2014 June Harbin a "Yuanban hospital tube" model of community health service institutions and the "government-run control"community health service bodies of 150 people as research subjects, by the way residents questionnaire a comparative study of the two community health services mode satisfaction. Satisfaction directions include: health care service, medical equipment and medical costs, treatment processes, ease of treatment, treatment time, interpretation and communication, efficacy, health promotion and education. Results "Yuanban the Hospital" and "government-run control" questionnaire recoveries were 94%, 95.3%; among treatment prices, drug prices, facilities and equipment, ease of treatment, waiting times, satisfaction shows that"hospital Office of the Hospital"below the"government-run control"and was statistically significant (P<0.05);no sig-nificant difference in the attitude of the medical staff to explain and communicate the efficacy of satisfaction (P>0.05); residents of the two modes The basic situation was no difference (P>0.05). Conclusion The investigation found that"government-run control"mode to achieve the desired effect on the whole, higher resident satisfaction, can give people more satisfied with community health services, but in terms of price, as well as drug treatment and insufficient, still need improvement.