摘要
目的现场调查参合农民对新农合定点医疗机构服务质量的评价情况,为有关卫生主管部门改进新农合定点医疗机构服务质量提供科学依据。方法随机整群抽样,以问卷方式调查抽取的部分云南省寻甸县参合农民对新农合定点医疗机构服务质量的意见和建议。结果参合农民对各级定点医疗机构医疗技术水平、服务态度、收费、卫生资源配置情况的评价分布差异分别都有统计学意义(P<0.001)。经非条件Logistic回归分析表明,村卫生室虽然设备较差,只有部分需要的药,但医务人员治疗一些常见病的医疗技术水平尚可,距离近,收费低,可信度和满意程度较高,参合农民选择就诊的可能性相应较高。结论各级定点医疗机构服务质量一般,卫生资源配置不合理,县级医疗机构服务态度较差,收费过高。建议有关卫生主管部门大力提高乡村医生的医技水平,合理配置卫生资源,改善县级医疗机构的服务态度,降低并统一新农合定点医疗机构的收费。
Objective Through on-the-spot investigating into the appraisement of participating farmers on the service quality of New-style Rural Cooperative Medical Care fixed-point medical institutions, so as to provide scientific basis for the health relevant authorities concerned to improve the service quality of these institutions. Methods We randomly sampled a part of participating farmers by the cluster sampling, who were of participating farmers in Xindian county, Yun- nan province, and investigated their comments and proposals about the service quality of fixed-point medical institutions by the questionnaire method. Results There were statistical significant differences（ P 〈 0. 001 ）between the respondents＇ relative appraisal distributions of medical technical level, the attitude of medical service, medical charge and the allocations of health resources among the various fixed-point medical institutions. Through analyzing the data by Non-conditional Logistic Regression Analysis, we found that the village infirmaries stood high in the participants＇ favor because of several reasons. Firstly, the doctors could treat some of common ailments. Secondly, the village infirmaries were closest to the participants＇ home. Thirdly, they charged very low medical fee for their service. Finally, they had high reliability and satisfactory degree. Conclusion The service quality of various fixed - point medical institutions was only common level. The allocations of health resources were unreasonable. The medical service attitudes of county-level hospitals were very bad. The medical charges of them were also too high. It was suggested that the health relevant authorities concerned energetically improve the medical technical level of rural doctors, reasonably allocate health resources, improve the attitude of county-level hospitals, depreciate and unify the medical charge of fixed-point medical institutions.
出处
《中国医院统计》
2005年第4期295-298,共4页
Chinese Journal of Hospital Statistics
基金
云南省自然科学基金(2004C0045M)
云南省卫生厅科研基金联合资助
关键词
新型农村合作医疗
医疗机构
质量评价
New-style rural cooperative medical care Medical institutions Service quality appraisement
