江门市农村卫生系统反应性调查与分析

目的了解江门市农村卫生系统绩效状况，发现不足，分析原因，研究对策，以改善农村卫生系统整体服务水平。方法随机调查在过去一年中接受过江门市三区四县十镇农村医疗机构服务的208名公众，对他们进行问卷调查。所有问卷进行编码，经Epidata双录入逻辑校对，由SPSSl6．0软件处理。结果农村卫生系统反应性最好的是尊严占89．9％，社会支持网络占89％。认为反应性差或很差的前三位是基础设施质量占8．2％，选择医护人员占3．4％以及对病人的及时关注占1．4％。结论增加政府对农村卫生系统的投入，改善基础设施建设，在自主性、及时关注、保密性以及选择医护人员方面应进一步改进，以提高农村医疗系统的反应性。

A survey and analysis of the responsiveness of rural health care system in Jiangmen city

Objective To understand the performance of health care system in Jiangmen rural areas, to find the weakness and to analyze the reasons, to take measures to improve the overall service level of the system. Methods A survey on 208 people who received public health services in the past year at three districts and four counties in Jiangmen was conducted by questionnaires. All the questionnaires were coded with two-input logic proof by Epidata and processed by the SPSS 16.0 software. Results Of the best rural health system response was dignity 89.9%, and social support network 89%. Considered poor or very poor response to the first three is the quality of infrastructure, 8.2%, 3.4% selected heath care workers to patients in a timely manner and accounted for 1.4% interest. Conclusions Imvestment should be increased to the rural health care system to improve the basic structures. Autonomy, prompt attention, confidentiality, and selection of medical staff should be further improved to enhance the responsiveness of rural health care system.