关键知情人对河南省社区卫生服务机构反应性的评价研究

目的:了解河南省社区卫生服务机构反应性水平。方法:采用制定的《河南省社区卫生反应性调查表(关键知情人)》问卷,调查社区卫生服务机构关键知情人。采用多输入优序图列法确定河南省社区卫生服务机构反应性各维度权重,采用模糊综合评价法评价反应性水平,采用反应性不平等指数测量反应性分布。结果:共调查有效关键知情人431位。问卷各维度Cronbachα系数均大于0.623,总量表Cronbachα系数为0.850;重测信度的各维度相关系数均大于0.907。反应性水平与分布指数分别为8.33和0.2744,各维度重要性排序为:及时关注尊严基础设施交流保密性社会支持选择性自主性。关键知情人认为脆弱人群在社区卫生机构有时或经常受到不公平对待的比例约为50%。结论:关键知情人认为河南省社区卫生服务机构的反应性水平总体较高,反应性分布比较均衡。但认为在基础设施、对患者的隐私保护、与患者的交流沟通等方面存在很大不足。

Evaluation of community health service institutions responsiveness in Henan Province:Key informant survey

Objective: To understand the responsiveness of community health service institutions in Henan Province. Methods: This research collected information through questionnaire investigations. The object of the investigations is key informants familiar with community health service institutions. Various dimensions of responsiveness within Henan province community health service institutions are determined through a multiple-input pecking order graph. The fuzzy comprehensive evaluation method is used to evaluate the level of responsiveness. Responsiveness inequality index is used to measure the distribution of reactions. Results: A total of 431 valid key informants were surveyed. The various dimensions of the questionnaire of Cronbach alpha coefficient was greater than 0.623; the total scale of the Cronbach alpha coefficient was 0.850; the correlation coefficient of each dimension of test-retest reliability were greater than 0.907. The levels of responsiveness and distribution index were 8.33 and 0.2744, respectively; each dimension by order of importance: timely attention >dignity >infrastructure >communication >confidentiality >social support >selective >autonomy. Approximately 50% of key informants considered that vulnerable groups in community health service institutions were sometimes or often treated unfairly. Conclusion: Key informants considered the responsiveness level of overall higher community health service institutions in Henan Province was high, and the distribution of responsiveness was relative equilibrium. However, there is a large shortage of infrastructure, privacy protection, doctor-patient communication, etc.