中国全科医学2013，Vol.16Issue(4)：366-369,4.DOI:10.3969/j.issn.1007-9572.2013.02.004
患者视角下的东中西部城市社区卫生综合改革评价
Comprehensive Reform of Community Health Service in Different Regions in China undeRPerspective of Patients
摘要
Abstract
Objective From the perspective of the patents to study the changes of comprehensive reform community health service ( CHS ) in East, Central and West China, and the service conditions of CHS institutions and the issues that need to be improved. Methods Twelve CHS centers were selected randomly from each of the eight typical cities in East, Central and West China, The questionnaire survey was conducted among patients seeking medical care in these centers that very day. Results ( 1 ) The percentage of patients from the West regions who held that there had been improvement in medical surroundings, service attitude and technical skills of the medical staff was higher than that form the East regions; but the percentage of patients from the East regions who held hat the drug price had lowered was higher than that from the West regions, the differences were of statistical significance ( P <0. 0125 ). ( 2 ) The satisfaction percentages of the patients in the West regions on that very day's medical surroundings, service attitude and technical skills of the medical staff were 88. 9% , 91. 5% and 81. 6% respectively, being higher than those in the East and Central regions. The reimbursement satisfaction of the patients in the East regions was 58. 5% , being higher than that in the West and Central regions. The satisfaction on the categories of drugs and prevention care service were 51. 5% and 65. 9% for the patients from the West regions, being higher than those from both East and Central regions ( P <0. 0125 ). ( 3 ) About the items that need to be further improved, the first three ones were the variety and quality of drugs ( 25. 3% ), price of drugs ( 21. 8% ), and medical skills ( 18. 2% ) in the East cities; essential facilities and equipment ( 28. 2% ), price of drugs ( 21. 8% ), and variety and quality of drugs ( 21. 2% ) in the Central cities; essential facilities and equipment ( 30. 8% ), variety and quality of drugs ( 28. 1% ) and percentage and categories of imbursement of medical fees ( 27. 9% ) in the West cities. Conclusion The comprehensive reform of CHS should be improved based on the wishes of the patients from different regions in China. The essential drug system should be continually consolidated. Cooperation with the health insurance organization needs to be actively enhanced so as to promote the reform of medicare payment system.关键词
社区卫生服务/综合改革/患者/满意度/比较研究Key words
Community health services/ Comprehensive reform/ Patients/ Satisfaction/ Comparative research分类
医药卫生引用本文复制引用
吴宁,刘涵,张丽芳,刘利群,周巍,王丽坤,刘彩玲,秦江梅..患者视角下的东中西部城市社区卫生综合改革评价[J].中国全科医学,2013,16(4):366-369,4.基金项目
中澳卫生与艾滋病项目(HSS409) （HSS409）
