CAJ | 학술논문

目的：开展城市社区居民对公立医疗机构服务现状满意度调查分析，探讨新形势下，医疗卫生创新发展的新机制，以满足人民群众多层次、多样化的医疗健康服务需求。方法随机分层抽取青岛市社区居民1430人，采取现场问卷调查的方式，对公立大型医院和社区卫生服务中心现状及其满意度进行调查分析。结果青岛市社区居民1430人中选择到大型公立医院就诊者占65．8％，社区卫生服务中心占37．3％。在大型公立医院从就诊到结束，耗时至少半天者占69．5％，一天以上者占18．7％；就诊流程部分不合理者占45．2％，如住院手续繁琐、化验单拿取不方便、导医人员太少、专家门诊限号、看病等待时间过长、诊病时间较短、医生因患者多而缺乏耐心等；就诊流程比较合理、方便者占40．0％。认为大型公立医院的服务态度一般，有待于进一步提高者占58．2％；认为服务态度好，很满意者占30．7％。认为社区卫生服务中心的服务态度好，很满意者占43．2％；认为服务态度一般，有待提高者占37．9％。96．1％的被调查者认为社会应该形成公私联合多元办医格局，为居民提供各种优惠政策；98．4％的被调查者期望国家优化医疗服务资源配置，促进优质资源向贫困地区和农村延伸。结论现阶段多数患者选择到大型公立医院就诊，就诊流程和服务态度是需要改进的重点。大型公立医院和社区卫生服务中心应加强合作，形成联动创新发展机制，使患者就医有更多的选择，从而获得更优质的医疗服务。
목적：개전성시사구거민대공립의료궤구복무현상만의도조사분석，탐토신형세하，의료위생창신발전적신궤제，이만족인민군음다층차、다양화적의료건강복무수구。방법수궤분층추취청도시사구거민1430인，채취현장문권조사적방식，대공립대형의원화사구위생복무중심현상급기만의도진행조사분석。결과청도시사구거민1430인중선택도대형공립의원취진자점65．8％，사구위생복무중심점37．3％。재대형공립의원종취진도결속，모시지소반천자점69．5％，일천이상자점18．7％；취진류정부분불합리자점45．2％，여주원수속번쇄、화험단나취불방편、도의인원태소、전가문진한호、간병등대시간과장、진병시간교단、의생인환자다이결핍내심등；취진류정비교합리、방편자점40．0％。인위대형공립의원적복무태도일반，유대우진일보제고자점58．2％；인위복무태도호，흔만의자점30．7％。인위사구위생복무중심적복무태도호，흔만의자점43．2％；인위복무태도일반，유대제고자점37．9％。96．1％적피조사자인위사회응해형성공사연합다원판의격국，위거민제공각충우혜정책；98．4％적피조사자기망국가우화의료복무자원배치，촉진우질자원향빈곤지구화농촌연신。결론현계단다수환자선택도대형공립의원취진，취진류정화복무태도시수요개진적중점。대형공립의원화사구위생복무중심응가강합작，형성련동창신발전궤제，사환자취의유경다적선택，종이획득경우질적의료복무。
Objective To carry out the urban community residents satisfaction investigation and analyze the present situation of public service of medical institutions,to discuss under the new situation,the development of medi-cal and health innovation mechanism,thus to meet the multi -level and diverse people health services demand. Methods Random stratified sampling of Qingdao city community residents,1 430 people,adopted the method of the questionnaire about the present situation of public hospital and community health service center and the satisfaction was investigated.Results Of Qingdao city community residents,1 430 people chose to large public hospital patients (65.8%),community health service centers (37.3%).In a large public hospital from visits to the end,took at least half a day to account for 69.5%,more than a day (18.7%);Unreasonable process part (45.2%),such as hospital formalities complex,paper take inconvenient,medical guide was too little,expert outpatient service limit number,to see the doctor for a long time,adjust time was shorter,the doctor for the patient and the lack of patience,etc.The process was reasonable and convenient accounted for 40.0%.Think of large public hospital service attitude,subject to further improvement accounted for 58.2%;Think good service attitude,the very satisfied accounted for 30.7%.Think that community health service center service attitude good,very satisfied accounted for 43.2%;Think the service attitude in general,efficiency was 37.9%.96.1% of the respondents believed that society should form a public -private joint diversified do medical pattern,provided residents with various preferential policies.98.4% of the respondents expected countries to optimize the medical service resources allocation,promoted resources with high quality and the countryside in poor areas.Conclusion At present,most of the patients choose to large public hospital,process and service attitude is the key of the need to improve.Large public hospitals and community health service center should strengthen the cooperation and formation mechanism of innovation and development,and make the patients more options,so as to get better medical service quality.