摘要
目的：了解药品零差率背景下某市县级医院门诊患者医疗服务需求、利用和满意度状况。方法：以现场随机拦截法对某市990名县级医院门诊患者进行问卷调查,分析药品零差率政策知晓、医疗服务需求、利用与满意度等内容。结果：门诊患者对于以药品零差率为核心的综合改革政策知晓率为80.1%,自我健康总体评价以比较健康为主（43.7%）,从家步行到最近的基层医疗机构、三级医院需要时间以20~29分钟（29.7%）、1小时以内为主（48.8%）,51.7%的首选在基层医疗机构,年平均就诊次数为2.7±2.4次（0~20次）,就诊总医疗费为299.9±315.9元（10.0~3 000.0元）,自付比例为（75.6±28.4）%（0~100.0%）,80.3%的认为医院就医环境满意,40.0%的认为医务人员对于患者要求反应一般与不满意。结论：某市县级医院门诊患者对医疗服务反应性呈现出较好发展态势,要进一步加强宣传,提高药品零差率政策知晓率,加强医患沟通,提高医疗服务可及性。
Objective To investigate the medical service demands,utilization and satisfaction of outpatients in county hospital under the drug zero-profit policy in a city of China.Methods A total of 990 outpatients in county hospital were selected as objects using convenience sampling method.The awareness of zero profit policy,demand,utilization and satisfaction of medical service among outpatients were surveyed by questionnaire.Results 80.1% of outpatients knew the knowledge of the zero-profit policy.43.7% of outpatients＇ self health evaluation was much healthier.51.7% of outpatients took grassroots medical institutions as their first choice for seeing a doctor.The annual average times of clinic visits was 2.7±2.4times from 0time to 20 times,the total health care costs was 299.9±315.9yuan from 10.0yuan to3 000.0yuan,and individual self-paid ratio was 75.6±28.4%from 0to 100.0%.80.3% of outpatients were satisfied with medical condition,and 40.0%thought medical personnel＇s response to requirements of outpatients so-so and dissatisfied.Conclusions The outpatients of county hospital tend to be satisfied with health service in a city of China.We should improve the awareness rate of zero-profit policy,enhance the doctor-patient communication,and increase the medical service accessibility.
作者
孙统达
李冠伟
张颖
任光圆
SUN Tong-da LI Guan-wei ZHANG Ying et al(Ningbo College of Health Sciences, Ningbo, Zhejiang 315100, China)
出处
《中国农村卫生事业管理》
2016年第12期1538-1541,共4页
Chinese Rural Health Service Administration
基金
宁波市2013年软科学研究计划课题(项目编号:2013A10105)
关键词
药品零差率
县级医院
门诊患者
医疗服务
需求
利用
满意度
drug zero profit policy
county hospital
outpatient
medical service
demand
utilization
satisfaction
