北京市城区居民对社区预防、保健服务利用满意度调查分析

目的 了解北京市城区居民对社区预防保健服务利用的满意度和影响因素.方法 根据社区卫生服务机构保健科登记在册的预防保健服务利用者名单,按各类服务利用者占服务利用者总数的比例,分别在三类服务利用者名单中采用数字表法随机抽取儿童免疫规划、传染病防控和孕产妇保健服务利用者共计431人,采用统一的调查问卷,由经统一培训的调查员入户调查社区居民服务利用满意度,应用非条件logistic回归法分析服务利用满意度及其影响因素.结果 总体满意度评分3.93,满意率71.9%(310/431),儿童免疫规划和孕产妇保健利用者的满意度较高,满意度评分分别为3.99和3.96,满意率分别为75.7%(165/218)和76.2%(77/101).传染病防控服务利用者满意度较低,满意度评分为3.79,满意率为60.7%(68/112).对保健科的初步印象(OR=7.9,P=0.008)、服务便利性(OR=11.0,P＜0.01)、服务环境(OR=23.4,P＜0.01)、服务技能(OR=29.5,P＜0.01)、服务态度(OR=6.6,P=0.020)、隐私保护(OR=88.1,P＜0.01)、服务设备(OR=25.7,P＜0.01)和服务费用(OR=4.4,P=0.013)是影响居民满意度的主要因素.结论 社区居民对预防保健服务总体满意度较高,需要更新仪器设备,改善服务环境,进一步提高服务技能和服务态度,保护居民隐私.应该加强传染病防控的预防保健服务.

A survey on satisfaction level towards community-based preventive and health care services to urban residents in Beijing

Objective To understand the satisfaction level and it's related factors of urban residents towards coannunity-based preventive and health care service in Bering.Methods The community-based preventive and health care services were sorted as child immunization program,infectious disease prevention and control,and pregnant and maternal care.Based on the proportion of three categories service recipients accounted for the total number.A total of 431 service recipients were randomly and proportionally sampled from registered names.Then the service satisfaction household survey was carried out with standard questionnaire,and non-conditional logistic regression was conducted on the analysis of satisfaction and its related factors.Results General satisfaction score was 3.93,with the satisfaction ratio of 71.9%(310/43 1).The satisfaction level of child immunization program and pregnant and maternal care was high,but that of infectious disease prevention and control was lower among three categories service recipients.with the satisfaction score of 3.99,3.96 and 3.79,and the satisfaction ratio of 75.7% (165/218),76.2% (77/101) and 60.7% (68/112) respectively.Initial impression(OR=7.9,P=0.008),service convenience (OR=11.0,P＜0.01),environment (OR=23.4,P＜0.01),skill(OR=29.5,P＜0.01),attitude(OR=6.6,P=0.020),privacy respect (OR=88.1,P＜0.01),equipment (OR=25.7,P＜0.01)and price (OR=4.4,P=0.013) were influencing factors.Conclusion The general satisfaction should be considered hish.While the apparatus and equipment should be renewed,the service environment should be improved.The service skill and attitude should improve more,and the residents'privacy should be respected.The preventive and health care services of infectious disease prevention and control should be strengthened.