乌鲁木齐市居民对社区卫生服务利用情况及满意度调查

[目的]了解乌鲁木齐市居民对社区卫生服务利用情况及满意度,为制定社区卫生服务相关政策及措施提供依据。[方法]采用分层随机抽样的方式对700名在社区卫生服务中心/站就诊的居民进行社区卫生服务机构利用情况及满意度调查。[结果](1)社区居民享受各种形式医保比例较高,选择社区卫生服务机构的主要原因是"方便快捷"、"服务态度好"、"是医保定点单位",分别占总数的76.46%、41.65%、26.53%;病伤诊治及购药是主要接受服务的类型,占总服务类型的70%以上;39.6%的利用者1年内就诊次数在两次以下,经常来社区卫生服务机构就诊(6次以上)的患者比例为27.1%;居民对社区公共卫生服务的知晓率为66.1%,特殊人群接受免费提供的医疗服务或保健指导覆盖率均达到60%以上。(2)居民对社区卫生服务机构综合满意度为60.59%,其中对就诊方便程度、服务态度、受尊重程度的满意度较高,对设备设施、服务价格、药品价格的满意度较低。[结论]乌鲁木齐市社区卫生服务机构中医疗服务与公共卫生服务的利用不平衡,居民满意度总体情况一般,个别服务类型有较大的改进空间。建议有关部门加大社区卫生服务机构的支持和宣传引导力度,不断完善"六位一体"功能。     

2012年乌鲁木齐市社区卫生服务利用者满意度调查

目的 了解乌鲁木齐市社区卫生服务的利用者对社区卫生服务的利用情况及满意度,为制定社区卫生服务相关政策及措施提供依据.方法 采用分层随机抽样的方式对700名在社区卫生服务中心(站)就诊的居民进行社区卫生服务机构利用情况及满意度调查.结果 ①社区居民享受各种形式医保比例较高,选择社区卫生服务机构的主要原因是“方便快捷”、“服务态度好”、“是医保定点单位”.病伤诊治及购药是主要接受服务的类型,占总服务类型的70.0％以上;36.5％的利用者一年内就诊次数在2次以下,经常来社区卫生服务机构就诊(6次以上)的患者比例为27.3％;②居民对社区卫生服务机构就诊等候时间、服务态度、受尊重程度的满意度较高,对就医环境、设备设施、服务价格、药品价格的满意度较低.结论 乌鲁木齐市社区卫生服务利用者满意度情况总体较好,个别服务类型有进一步改进的空间.有关部门应加大社区卫生服务机构的支持和宣传引导力度,不断完善“六位一体”功能.     

济南市居民社区卫生服务利用和满意度调查

目的调查济南市居民社区卫生服务的利用和满意度情况,为进一步开展城市社区卫生服务工作提供依据。方法 2010年1月-2010年3月期间,对济南市211家社区卫生服务机构就诊患者进行问卷调查。结果就诊居民以退休或离休居多(41.88%);当自感病轻时首选社区卫生服务机构的比例最高(92.71%),当自感病重时选择社区卫生服务机构的比例为8.35%;本次服务类型主要为病伤诊治(41.06%);除医疗设备和药品价格外,就诊居民对社区卫生服务的满意度均高于80.00%。结论济南市居民对社区卫生服务有较高的满意度。今后应进一步加大投入,从多层面、多环节为患者考虑,改进工作,使社区卫生服务工作为更多的居民所接受。     

北京市社区居民卫生服务利用及满意度调查

目的 了解北京市城区居民对社区卫生服务利用和满意度情况.方法 采用系统随机抽样方法对北京市6城区居民社区卫生服务利用情况和满意度进行调查,使用Stata 10.0统计软件进行分析.结果 自感病情较轻时,76.84%居民选择社区卫生服务站;居民就诊主要原因依次为治疗、购药和诊断,分别占35.04%,19.97%和16.26%;居民对社区卫生服务总体满意度为90.07%,满意度较高的项目依次为方便程度、服务态度、解释/交流和等候时间;满意度分别为94.44%,92.12%,89.68%和89.08%;满意度相对较低的项目是机构设施/设备和药品价格.结论 北京市社区居民的医疗卫生服务利用和满意度较高.     

泰安市泰山区社区卫生服务居民满意度调查

目的调查泰安市泰山区社区卫生服务的居民满意度,了解社区卫生服务的利用率。方法对社区卫生服务的相关文献进行检索,采用自我设计的调查问卷,深入社区居民家中、公共场所等对家庭成员及社区卫生服务利用者进行访问,了解社区居民对社区卫生服务开展情况的满意度。结果被调查居民中75.4%认为收费合理,47.3%认为费用支出减少,88.0%对服务态度满意,80.0%对技术水平满意。结论泰安市城市社区居民对社区卫生服务满意度较高,城市社区卫生服务发展前景广阔。     

医保政策对社区卫生服务筹资作用的潜力分析

目的探索医保政策在社区卫生服务筹资方面的作用及潜力。方法采用描述性统计分析的方法对医保在社区卫生服务利用和业务收入方面的作用及情况进行描述和比较。结果 3年间社区卫生服务利用者医疗费用支付方式的构成有显著性差异;参保居民优先选择医保定点机构的比例高于非参保居民;医保定点后社区卫生服务机构收入有所增长;启动医保补偿机构的医保收入占业务收入的比例总体呈上升趋势,但仍较低。结论参保居民就诊比例逐年上升;医保定点是影响参保居民选择就诊机构的重要因素;医保政策筹资效用显现,但仍有较大潜力。     

南昌市居民对社区卫生服务利用情况和满意度调查

[目的]探讨南昌市居民对社区卫生服务利用和满意度情况及相关问题.[方法]采用分层抽样方法对南昌市居民社区卫生服务利用情况和满意度进行调查.[结果]居民就诊目的以医疗为主占75.2%,居民对社区卫生服务机构的等候时间、就医环境、服务态度、设施/设备、解释/交流的满意度均达95%以上,对服务价格、药品价格的满意度均达85%以上,46.8%的就诊居民认为机构保护自己的隐私,48.2%对保护隐私不太关心,在保护隐私方面中心明显好于站(P<0.05).[结论]南昌市社区卫生服务利用和满意度整体上还是有较大的改进空间,社区卫生服务管理者应该积极采取相应措施来提高居民对社区卫生服务利用和满意度水平.     

伊宁市社区居民对卫生服务机构满意度调查

目的了解伊宁市社区居民对社区卫生服务的满意度情况。方法 2012年1月对720名就医者采取整群抽样方法对伊宁市社区服务利用者满意度情况进行调查,有效问卷682份。结果居民对社区卫生服务机构的总体满意度较高,对社区卫生服务态度、医护人员的医德医风、就医环境感到满意,分别80.50%、77.42%和76.83%,有56.30%被调查者对社区卫生机构检查设备感到满意。结论伊宁市的社区卫生服务取得了比较好的评价,但还存在改善空间,社区卫生服务管理者应该采取积极的措施提高其服务质量。     

昆山市社区卫生服务机构就诊居民满意度调查

目的：了解影响昆山市社区卫生服务机构就诊居民满意度的影响因素,为针对性地制定昆山市社区卫生服务发展对策提供科学依据。方法：采用随机抽样方法,对昆山市162家社区卫生服务机构就诊居民进行问卷调查,用Epidata3.0软件录入数据,并用SPSS12.0软件对结果进行统计分析。结果：自感病轻者首选社区卫生服务机构就诊,自感病重者首选市级及以上医院就诊;医生技能对就诊居民满意度影响最大,其次是治疗效果和服务态度。医疗费用、药品价格、服务价格、就诊环境、设施设备、年龄也是重要的影响因素。结论：技术水平高、治疗效果和服务态度好是提高社区卫生服务满意度的关键。价廉、舒适的社区卫生服务是社区居民最需要、也是最受社区居民欢迎的。     

深圳市劳务工和非劳务工社区卫生服务利用及满意度对比分析

目的:了解劳务工和非劳务工对社区卫生服务利用情况及其满意度。方法:在深圳市宝安区随机抽取街道及其社区卫生服务中心,以拦截调查的方式共调查社区卫生服务利用者8 000人,运用SPSS18.0软件对数据进行统计分析。结果:劳务工最近一年到社区卫生服务中心就诊次数为3次及以上的比例高于非劳务工,差异有统计学意义(P0.000 1);劳务工和非劳务工就诊人群满意度前三位分别是服务态度(73.29%,73.46%)、技术水平(65.29%,67.50%)、看病方便(63.16%,64.98%);73.47%的就诊者愿意接受社区首诊制,劳务工人群相比非劳务工人群更愿意接受社区首诊(74.16%,69.71%)。讨论:深圳市劳务工社区首诊制的实施使居民社区卫生服务利用有所提高,劳务工和非劳务工对社区卫生服务的满意度较高,且差别不大。以深圳为借鉴,在全国逐步推进社区首诊制具有一定的可行性。     

社区卫生服务在健康社区中的作用

在发达地区，健康社区面临的主要挑战是由个体慢性疾病积聚而成的群体健康问题，具有个性化、渐进发展和伴随终生的自然特性。社区卫生服务是健康社区建设中资源整合与提供服务的平台，其全科医学具有个性化、连续、综合和适宜的特点，能有效应对健康社区建设中面临的基础医疗和公共卫生挑战。     

Advancing community health through community health partnerships

Improving a community's health is a key goal of health services organizations. Effectively pursuing that goal requires health services organizations to create partnerships with other organizations to help identify community health needs and to create and carry out programs that bring together community members and needed health services. Drawing on community systems concepts and a recent study of community health partnership efforts in three cities, this article provides a framework for such partnerships. Types of partnerships described include: Community action partnerships, in which the partnership forms to address a specific problem or pursue a specific opportunity. Community organization partnerships, in which a set of organizations in a similar service sector agree to collaborate for mutually agreed upon goals; and Community development partnerships, in which a partnership attempts to increase participation by people and organizations in collaborative activities that advance the community on multiple fronts or that contribute to community assets and services in multiple areas. The article also describes how the pressures to create large integrated delivery systems can affect creation of partnerships to improve community health. Increasingly, healthcare leaders are being held accountable for the health of communities they serve. When creating partnerships for community health and carrying out health-improvement activities, leaders should be aware of and respond to four key dimensions of accountability: political accountability, commercial accountability, clinical/patient accountability, and community accountability.     

Retirement community

The daily stresses of managing a hospital or hospital system seem to be claiming more executives, with the recent exit of at least a half-dozen relatively young CEOs of prominent organizations--including Christopher Carney, left, of Bon Secours Health System. "I can think of no time when the demands on CEOs have been greater," says one association executive.     

A move from hospital to community: evaluation of community contacts

A small-scale evaluation was made of the activities and social contacts of a group of young mentally handicapped people in one project, leaving hospital to a house in the community. The results are consistent with other recent work in suggesting that residential provision in small homes for people with severe or profound intellectual or multiple handicaps is likely to lead to increased family contact, increased participation in activities outside of the residence, and an increased frequency and duration of contact with non-handicapped people. The study suggests that many of these benefits of life in the community are dependent in various ways upon the staff employed. The nature of the young people's social contacts is examined and conclusions are drawn about specific issues, including staff selection and training, and attention to the maintenance as well as the provision of social contact.     

Cancer prevention in the community: a survey of community residents

Lifestyle exposures account for the greatest proportion of risk factors for cancer, yet these exposures have proven most difficult to alter. Despite intensive intervention efforts, many behaviour change programs are ill suited to the community. This research was undertaken to increase our understanding of prevention activities of interest to a sample of residents in two Ontario communities. 248 (62.3%) adult residents responded to a semi-structured self-administered questionnaire including open-ended questions on health issues, exposures and prevention activities of interest. While some of the beliefs expressed by respondents might have been anticipated (e.g., cigarette smoking and family history increase risk of cancer), others were not (e.g., only between 40 and 75% of respondents thought a high fat diet increased risk). Furthermore, many of those with personal health concerns expressed an interest in prevention. This process is proposed as a first step in launching more appropriate and sustainable community-based health promotion programs for cancer prevention.     

Subjective well-being and community integration among clients of assertive community treatment

Three aspects of community integration (i.e., physical, social, and psychological integration) were examined in relation to subjective well-being (SWB) in a sample of 92 persons with psychiatric disabilities receiving services from assertive community treatment (ACT) teams. Although two of the integration variables, namely physical and psychological integration, were related to SWB at the bivariate level, these relationships were not maintained following sequential multiple regression analysis. Findings support previously established relationships between SWB and psychiatric symptoms and between SWB and self-esteem. Results also emphasize the importance of client perceptions of social support that may be attributable, in part, to ACT services.