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目的了解南宁市城乡慢性非传染性疾病(慢性病)患者对国家基本公共卫生服务利用情况和满意度,为实现慢性病患者规范化管理,提高慢性病患者的管理水平提供参考依据。方法 2012年1—12月随机抽取南宁市接受国家基本公共卫生服务慢性病管理满1年的慢性病(高血压、糖尿病)患者1 200例,进行问卷调查和体格检查。计量资料采用t检验;计数资料采用χ2检验;采用非条件Logistic回归分析随访满意度的影响因素,P<0.05为差异有统计学意义。结果城市患者接受健康讲座、入户或电话指导、到卫生服务机构咨询、接受健康教育资料的比例(60.52%、84.26%、88.70%、80.83%)高于农村患者(36.69%、36.89%、77.42%、52.82%),差异均有统计学意义(χ2=65.865、284.669、27.484、106.785,均P<0.05);城市患者在服务环境、就诊手续、医务人员服务的服务态度、医务人员服务技术的满意度(89.08%、92.25%、94.89%、83.10%)高于农村患者(45.07%、61.87%、62.93%、53.07%),差异均有统计学意义(χ2=142.43、131.19、157.59、137.43、157.59,均P<0.05);多因素Logistic回归分析结果显示,随访次数(OR=1.275,95%CI为1.063~1.530)、就诊环境(OR=2.163,95%CI为1.238~3.778)、服务态度(OR=2.703,95%CI为1.440~5.072)是随访满意度的影响因素。结论南宁市农村地区慢性病患者对基本公共卫生服务的利用低于城市,农村地区慢性病患者对基本公共卫生服务的满意度低于城市。需要加强农村地区医疗卫生机构的建设,提高服务水平。
Objective To understand the utilization and satisfaction of basic public health services in patients with chronic non-communicable diseases (chronic diseases) in urban and rural areas in Nanning and to provide reference for realizing the standardized management of chronic diseases and improving the management of patients with chronic diseases. Methods From January to December in 2012, 1 200 cases of chronic diseases (hypertension, diabetes mellitus) with chronic diseases (hypertension, diabetes) undergoing administration of national basic public health service for one year were randomly selected from Nanning for questionnaire and physical examination. Measurement data using t test; count data using χ2 test; non-conditional Logistic regression analysis of follow-up satisfaction factors, P <0.05 for the difference was statistically significant. Results The percentage of health education, home counseling and telephone counseling received by urban patients was significantly higher than that of rural residents (36.69%, 36.89%, 77.42%), which was significantly higher than that of rural residents (60.52%, 84.26%, 88.70%, 80.83% %, 52.82%), the differences were statistically significant (χ2 = 65.865,284.669,27.484,106.785, all P <0.05); urban patients in the service environment, treatment procedures, medical staff service attitude, medical staff service technology Satisfaction (89.08%, 92.25%, 94.89%, 83.10%) was higher than that in rural areas (45.07%, 61.87%, 62.93%, 53.07%), the differences were statistically significant (χ2 = 142.43,131.19,157.59,137.43, (OR = 2.163, 95% CI: 1.238 ~ 3.778), service attitude (P0.05), and the difference was statistically significant (P <0.05). The multivariate Logistic regression analysis showed that the number of follow- (OR = 2.703, 95% CI: 1.440 ~ 5.072) were the influential factors of follow-up satisfaction. Conclusion The utilization of basic public health services in rural areas of Nanning City is lower than that of urban areas. The incidence of chronic public health services in rural areas is lower than that of urban areas. Need to strengthen the construction of medical and health institutions in rural areas, improve service levels.