摘要
目的:了解广州市社区居民对社区卫生服务的利用情况以及满意程度,探讨社区卫生服务的优势与存在的问题,为改善社区卫生服务质量提供依据。方法:采用自行设计调查问卷对广州市12个社区卫生服务中心(站)的450名就诊居民进行调查。结果:社区居民的就诊目的主要为疾病诊治(42.1%)、体检(23.1%)和购药(16.2%),服务需求集中于常见病的诊疗(55.1%);就诊居民关于社区卫生服务就诊的便捷性、社区机构的硬件设施、诊疗经济性以及医务人员服务水平等四个方面的满意度评价基本达到4分以上,其中方便性和服务态度的满意度最高,而设施设备、药品和服务价格以及诊疗技术的满意度偏低。结论:社区居民中存在"重医疗、轻预防"的就医现象,社区卫生机构未充分体现六位一体的服务功能,应进一步落实和完善社区卫生服务相关政策法规,加大宣传力度,增加财政投入,加强人才队伍建设,改善硬件配套设施,努力提高社区居民的满意度。
Objective To analyze the satisfactory degree with community health service （CHS） among residents visit- ing CHS institutions and to discuss its advantages and the existing problems. Methods A self--designed questionnaire was used to study the community residents from 12 CHS centers or stations in Guangzhou. Results The purposes of res- idents visiting CHS institutions were diagnosis and treatment of disease （42.1%）, physical examination （23.1%） and medicine purchasing （16.2%）. Their medical demands were mostly diagnosis and treatment of disease （55.1%）. Thesatisfactory degree of residents visiting,in terms of convenience of CHS, hardware facilities of the institutions, medical expenditure and medical personnel service scored above 4 points, of which the former two aspects got higher scores while the latter two got lower scores. Conclusions There exists a situation among residents that ＂Treatment is the most important while precaution being ignored＂ and that the ＂Six in One＂ service function of CHS has not been reflected in the institutions. It is necessary to implement and improve the related policies and regulations, enhance publicity, increase financial investment,strengthen the construction of medical talent team and improve hardware facilities of the CHS.
出处
《中国农村卫生事业管理》
2015年第9期1117-1120,共4页
Chinese Rural Health Service Administration
基金
广东省医学科研基金"广东省县级公立医院综合改革效果评价与对策分析"阶段性成果(编号:C2014134)
关键词
社区卫生服务
利用
居民满意度
广州市
Guangzhou
community health service
utilization
residents＇satisfaction
