CAJ | 학술논문

目的：：了解河南省社区卫生服务机构反应性水平。方法：采用制定的《河南省社区卫生反应性调查表(关键知情人)》问卷,调查社区卫生服务机构关键知情人。采用多输入优序图列法确定河南省社区卫生服务机构反应性各维度权重,采用模糊综合评价法评价反应性水平,采用反应性不平等指数测量反应性分布。结果：共调查有效关键知情人431位。问卷各维度Cronbach α系数均大于0．623,总量表Cronbach α系数为0．850；重测信度的各维度相关系数均大于0．907。反应性水平与分布指数分别为8．33和0．2744,各维度重要性排序为：及时关注>尊严>基础设施>交流>保密性>社会支持>选择性>自主性。关键知情人认为脆弱人群在社区卫生机构有时或经常受到不公平对待的比例约为50%。结论：关键知情人认为河南省社区卫生服务机构的反应性水平总体较高,反应性分布比较均衡。但认为在基础设施、对患者的隐私保护、与患者的交流沟通等方面存在很大不足。
목적：：료해하남성사구위생복무궤구반응성수평。방법：채용제정적《하남성사구위생반응성조사표(관건지정인)》문권,조사사구위생복무궤구관건지정인。채용다수입우서도렬법학정하남성사구위생복무궤구반응성각유도권중,채용모호종합평개법평개반응성수평,채용반응성불평등지수측량반응성분포。결과：공조사유효관건지정인431위。문권각유도Cronbach α계수균대우0．623,총량표Cronbach α계수위0．850；중측신도적각유도상관계수균대우0．907。반응성수평여분포지수분별위8．33화0．2744,각유도중요성배서위：급시관주>존엄>기출설시>교류>보밀성>사회지지>선택성>자주성。관건지정인인위취약인군재사구위생궤구유시혹경상수도불공평대대적비례약위50%。결론：관건지정인인위하남성사구위생복무궤구적반응성수평총체교고,반응성분포비교균형。단인위재기출설시、대환자적은사보호、여환자적교류구통등방면존재흔대불족。
Objective:To understand the responsiveness of community health service institutions in Henan Province. Methods:This research collected information through questionnaire investigations. The object of the investigations is key informants familiar with community health service institutions. Various dimensions of responsiveness within Henan province community health service institutions are determined through a multiple-input pecking order graph. The fuzzy comprehen-sive evaluation method is used to evaluate the level of responsiveness. Responsiveness inequality index is used to measure the distribution of reactions. Results:A total of 431 valid key informants were surveyed. The various dimensions of the questionnaire of Cronbach alpha coefficient was greater than 0. 623;the total scale of the Cronbach alpha coefficient was 0. 850;the correlation coefficient of each dimension of test-retest reliability were greater than 0. 907. The levels of responsive-ness and distribution index were 8. 33 and 0. 2744, respectively;each dimension by order of importance:timely attention>dignity>infrastructure>communication>confidentiality >social support >selective >autonomy. Approximately 50% of key informants considered that vulnerable groups in community health service institutions were sometimes or often treated unfairly. Conclusion:Key informants considered the responsiveness level of overall higher community health service institu-tions in Henan Province was high, and the distribution of responsiveness was relative equilibrium. However, there is a large shortage of infrastructure, privacy protection, doctor-patient communication, etc.