新医改背景下杭州市社区卫生服务满意度及需求的调查分析

目的 了解新医改背景下杭州市居民对社区卫生服务的满意度水平及服务需求.方法 分层随机抽取了杭州市下城区、拱墅区、余杭区三个地区,并分别于三个区中随机抽取1个社区卫生服务中心进行拦截式满意度问卷调查,每个社区分别调查70例当天的就诊居民,共210例.结果 了解和熟悉新医改的居民为0.5％,社区卫生服务总体满意度为33.3％,最需要的社区卫生服务是常见病诊治和配药服务.结论 杭州市社区卫生服务的总体满意度和社区医师的主动服务意识有待提高,“强基层”重在“强人才”,落实基本药物制度和新医改需要舆论助推.

A Satisfaction and Demand Survey on Community Health Service after Health Care Reform in Hangzhou

Objective To investigate the satisfaction rate and demands of Hangzhou citizens on the community health service(CHS) after health care reform.Methods Xiacheng,Gongshu and Yuhang Districts were selected by stratified random sampling method.70 residents from every district were surveyed randomly by an intercept questionnaire method.Results Only about 0.5% percent of residents knew the health care reform.The satisfaction rate was about 33.3%.Diagnosis of common diseases and drug dispensing service were in great need.Conclusion The active service consciousness in community doctors should be improved in order to raise the satisfaction rate of community health service.Culture of talents is of great importance for strengthening the basic medical and health institutions.Proper public media and opinion can help implementing essential medicine policy and the health care reform.