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"三明医改"患者满意度调查研究

阳明春 林凤闺蓉 管晓东 马莉莉 韩晟 史录文

中国药房2017,Vol.28Issue(18):2468-2473,6.
中国药房2017,Vol.28Issue(18):2468-2473,6.DOI:10.6039/j.issn.1001-0408.2017.18.06

"三明医改"患者满意度调查研究

Investigation and Study on Patients'Satisfaction about"Sanming Medical Reform"

阳明春 1林凤闺蓉 1管晓东 1马莉莉 2韩晟 1史录文2

作者信息

  • 1. 北京大学药学院,北京 100191
  • 2. 北京大学医药管理国际研究中心,北京 100191
  • 折叠

摘要

Abstract

OBJECTIVE:To provide the scientific evidence and reference for improving medical reform. METHODS:Based on background of"Sanming Medical Reform",self-designed questionnaires were used to investigate the cognition and satisfaction of local patients. The results of investigation were analyzed statistically. RESULTS:A total of 275 paper questionnaires were sent out and all were collected;345 electronic questionnaires were sent out by Wechat and all collected. Among 620 questionnaires,372 valid questionnaires were collected with effective rate of 60.00%. More patients(31.45%)thought the cost of treatment decreased, and less (22.31%) thought the cost increased. The proportion of high-income people who thought cost reduced was significantly higher than the proportion of low-income people (P=0.018). 27.42% of patients believed shortage of drugs,and tertiary hospi-tals were more prone to drug shortage than other medical institutions(P=0.062). The patients'satisfaction with medical staff and healthcare reform were both high(86.56% and 79.03%),but the satisfaction of rural patients was lower than that of urban patients (P=0.051). Understanding of patients on"Sanming Medical Reform"was in low level. Only 20.70% of the patients fully under-stood or generally understood of"Sanming Medical Reform". The patients who thought the skills of medical staff were improved (40.32%)were more than those who thought the skills of medical staff were reduced(5.91%). CONCLUSIONS:Most patients are satisfied with"Sanming Medical Reform",and agree the achievements;but some problems are not solved,such as the shortage of some drugs,lack of grass-roots medical personnel,not understand medical policy.

关键词

三明医改/患者满意度/药品供应/就诊费用

Key words

Sanming Medical Reform/Patient satisfaction/Supply of medicine/Medical cost

分类

医药卫生

引用本文复制引用

阳明春,林凤闺蓉,管晓东,马莉莉,韩晟,史录文.."三明医改"患者满意度调查研究[J].中国药房,2017,28(18):2468-2473,6.

基金项目

国家自然科学基金资助项目(No.71303011) (No.71303011)

中国药房

OA北大核心CSTPCD

1001-0408

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