中国全科医学2017，Vol.20Issue(19)：2396-2401,6.DOI:10.3969/j.issn.1007-9572.2017.19.020
北疆牧区农牧民对基层卫生服务的满意度调查及其影响因素研究
Level of Satisfaction with Primary Healthcare Services and Influencing Factors in Farmers and Herdsmen in Pastoral Areas of Northern Xinjiang
摘要
Abstract
Objective To investigate the level of satisfaction with primary healthcare services and influencing factors in farmers and herdsmen in pastoral areas of northern Xinjiang.Methods Using typical case sampling,we selected three sample towns from northern Xinjiang,Halabula Town in Xinyuan County,Yili Kazakh Autonomous refecture,Areletuobie Town in Qinghe County,Ataile District,and Qiaqia Town in Tacheng City,Tacheng District.Then using random number table,we selected 3 villages from Halabula Town,4 villages from Areletuobie Town,and 4 villages from Qiaqia Town as the sample villages,in which we selected 1 621 permanent farmers and herdsmen aged 15 or over as the participants by using cluster sampling.A self-developed questionnaire was employed to survey the participants from July 2014 to August 2015,which involved the demographic data,status of illness occurred within two weeks before the survey and level of satisfaction with the primary outpatient services,status of inpatient treatment receiving in the township hospital within one year before the survey and level of satisfaction with the inpatient services.The survey achieved a response rate of 99.6%(1 615/1 621).We selected 122 cases who received primary outpatient services within two weeks before the survey or inpatient services delivered in the township hospital within one year before the survey as the final participants.Results In the 122 participants,the overall level of satisfaction with primary healthcare services was 74.6%(91/122),specifically,the level of satisfaction with services delivered in the village clinic was 81.0%(17/21),and that with outpatient services delivered in the township hospital was 77.5%55/71),and that with inpatient services delivered in the township hospital was 75.0%(48/64).The top three advantages achieving the highest level of satisfaction of services delivered in the village clinic were convenience〔100.0%(21/21)〕,service attitude 〔90.5%(19/21)〕 and consultation environment 〔85.7%(18/21)〕,and those of outpatient services delivered in the township hospital were convenience〔95.8%(68/71)〕,consultation environment 〔83.1%(59/71)〕 and service attitude 〔78.9%(56/71)〕,and those of inpatient services delivered in the township hospital were service attitude 〔92.2%(59/64)〕,hospitalization environment〔79.7%(51/64)〕 and technique skills of the primary care providers 〔70.3%(45/64)〕.The level of satisfaction with primary healthcare services in the participants varied significantly by age,annual household income per capita,annual household spending on healthcare per capita,the distance and needed time from home to the nearest medical institution,status of poor rural ousehold,and status of household enjoying the minimum living guarantee(P<0.05).Multivariate Logistic regression analysis demonstrated that,annual household income per capita,annual household spending on healthcare per capita,status of poor rural household,status of household enjoying the minimum living guarantee and the distance and needed time from home to the nearest medical institution were significantly associated with the level of satisfaction with primary healthcare services(P<0.05).Conclusion The overall level of satisfaction with primary healthcare services is high in farmers and herdsmen in pastoral areas of northern Xinjiang,and it is affected by the annual household income per capita,annual household spending on healthcare per capita and status of convenience to access to healthcare services.However,it can be further improved by increasing the categories of drugs or drug quantities based on the needs of the farmers and herdsmen,controlling healthcare costs while promoting the best possible health outcomes,updating the medical equipment and enhancing the technique skills of the primary care providers.关键词
基层卫生服务/满意度/新疆〔维吾尔自治区〕/农牧民Key words
Primary healthcare services/Satisfaction/Xinjiang/Farmers and herdsmen分类
医药卫生引用本文复制引用
韩林俐,李新辉,贾学斌,陈江芸,蒋佩,吴艳辉,邓立新..北疆牧区农牧民对基层卫生服务的满意度调查及其影响因素研究[J].中国全科医学,2017,20(19):2396-2401,6.基金项目
2013年度国家社会科学基金项目(13XGL017)——新疆牧业地区农村基层医疗卫生服务体系可持续发展研究 （13XGL017）
