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“三明医改”患者满意度调查研究
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| 篇名： | “三明医改”患者满意度调查研究 |
| TITLE： | |
| 摘要： | 目的：为进一步深化医改提供科学依据和参考。方法：结合“三明医改”背景，采用自行设计的问卷对当地患者进行相关认知情况及满意度调查，并对调查结果进行统计和分析。结果：共发放纸质问卷275份，回收275份；并通过微信发放电子问卷，回收345份，共计回收620份，其中有效问卷372份，回收问卷有效率为60.00％。认为就诊费用减少的受访患者（31.45％）多于认为就诊费用增加的受访患者（22.31％），其中高收入者认为费用减少的比例显著高于低收入者（P＝0.018）。27.42％的受访患者认为存在药品短缺，其中在三级医院比在其他类型医疗卫生机构更容易遇到药品短缺（P＝0.062）。受访患者对医护人员和医改的满意度都较高，分别为86.56％和79.03％，其中农村患者对医护人员的满意度低于城镇患者（P＝0.051）。受访患者对“三明医改”的了解程度总体上较低，仅有20.70％的受访患者完全了解或基本了解“三明医改”。受访患者中认为医护人员技术水平升高的（40.32％）多于认为医护人员技术水平降低的（5.91％）。结论：患者对“三明医改”的总体满意度较高，认同改革取得的成效，但仍存在部分药品短缺、基层医护人才匮乏、患者对医改政策不了解等问题。 |
| ABSTRACT： | OBJECTIVE： To provide the scientific evidence and reference for improving medical reform. METHODS： Based on background of “Sanming Medical Reform”， self-designed questionnaires were used to investigate the cognition and satisfaction of local patients. The results of investigation were analyzed statistically. RESULTS： A total of 275 paper questionnaires were sent out and all were collected； 345 electronic questionnaires were sent out by Wechat and all collected. Among 620 questionnaires， 372 valid questionnaires were collected with effective rate of 60.00％. More patients （31.45％） thought the cost of treatment decreased， and less （22.31％） thought the cost increased. The proportion of high-income people who thought cost reduced was significantly higher than the proportion of low-income people （P＝0.018）. 27.42％ of patients believed shortage of drugs， and tertiary hospitals were more prone to drug shortage than other medical institutions （P＝0.062）. The patients’ satisfaction with medical staff and healthcare reform were both high （86.56％ and 79.03％）， but the satisfaction of rural patients was lower than that of urban patients （P＝0.051）. Understanding of patients on “Sanming Medical Reform” was in low level. Only 20.70％ of the patients fully understood or generally understood of “Sanming Medical Reform”. The patients who thought the skills of medical staff were improved（40.32％）were more than those who thought the skills of medical staff were reduced（5.91％）. CONCLUSIONS： Most patients are satisfied with “Sanming Medical Reform”， and agree the achievements； but some problems are not solved， such as the shortage of some drugs， lack of grass-roots medical personnel， not understand medical policy. |
| 期刊： | 2017年第28卷第18期 |
| 作者： | 阳明春，林凤闺蓉，管晓东，马莉莉，韩晟，史录文 |
| AUTHORS： | YANG Mingchun，LIN Fengguirong，GUAN Xiaodong，MA Lili，HAN Sheng，SHI Luwen |
| 关键字： | 三明医改；患者满意度；药品供应；就诊费用 |
| KEYWORDS： | Sanming Medical Reform； Patient satisfaction； Supply of medicine； Medical cost |
| 阅读数： | 689 次 |
| 本月下载数： | 13 次 |
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