南京市儿童保健服务满意度评价及利用率的影响因素分析

发布时间：2018-05-10 18:36

本文选题：儿童保健服务 + 满意度评价　；参考：《南京中医药大学》2017年硕士论文

【摘要】：目的:本次研究以了解目前南京市开展儿童保健服务的现状为主要目的。为不断调整和完善目前的儿童保健卫生服务体系提供科学依据。方法:对《2013-2015年江苏省卫生统计年鉴》中涉及南京市儿童保健服务状况的数据进行描述性分析,结合分析情况进行实证研究。选取建邺区、鼓楼区、江宁区、六合区4个社区服务中心及南京市妇幼保健院、江苏省妇幼保健院作为调查现场,共对329名7岁以下儿童家长进行了调查访问。问卷内容涉及三方面:基于模糊综合评价法的儿童保健服务满意度评价,家长对儿童保健服务利用率的影响因素研究,南京市社区儿童保健服务项目推行情况。研究的数据资料采用单因素方差和Logistic回归分析(检验水准α=0.05)。对南京市儿童保健服务满意度的整体评价采用模糊综合评价法。对儿童保健的服务组织、服务技术、服务态度、服务连续性、服务费用、服务效率6个一级指标分别进行评分。结合各级指标权重结果得出南京市儿童保健服务满意度分值。结果:对儿童保健信息关注情况做有序Logistic回归分析中我们发现文化程度、年龄特点成为影响儿童保健信息关注程度的重要影响因素。对社区儿童保健服务利用率做单因素及非条件Logistic逐步回归分析,分析结果提示从需方角度看,家庭收入、文化程度、对社区卫生服务中心儿童保健服务知晓度成为影响社区儿童保健服务利用率的显著因素(p0.05)。从供方角度看,医师水平、专业设备、报销比例、就医距离成为制约社区儿童保健服务利用的重要因素。南京市儿童保健服务的满意度评价的总体分值为71分介于"一般"和"满意"之间。在儿童保健服务满意度指标测评中,服务组织、服务技术、服务态度、服务连续性、服务价格、服务效率测评的满意度分值分别为67.96,80.22,71.33,74.95,69.01,74.00。结论:从研究的结论来看近三年的南京市儿童服务建设取得了一定进展,儿童保健水平不断提高。但在基层社区儿童保健服务的推行和利用上普及度不高,一定程度上影响了对整体儿童服务保健的满意度评价。在评价的二级指标中,服务组织和服务费用两方面家长满意度较低,提示需要相关部门应进一步完善收费制度,丰富服务项目,落实推行分级诊疗制度。
[Abstract]:Objective: to understand the present situation of child health service in Nanjing. To continuously adjust and improve the current child health care service system to provide scientific basis. Methods: the data of Jiangsu Provincial Health Statistics Yearbook from 2013 to 2015 were analyzed by descriptive analysis and the empirical study was carried out in combination with the situation of Nanjing children's health care service. Four community service centers in Jianye District, Gulou District, Jiangning District, Liuhe District, Nanjing Maternal and Child Health Hospital and Jiangsu Provincial Maternal and Child Health Hospital were selected as the investigation site. A total of 329 parents of children under 7 years old were interviewed. The contents of the questionnaire involved three aspects: the satisfaction evaluation of child health care based on fuzzy comprehensive evaluation, the study on the influencing factors of parents' utilization rate of child health care service, and the implementation of the project of community child health service in Nanjing. The data of the study were analyzed by single factor variance and Logistic regression analysis (test level 伪 0. 05). The fuzzy comprehensive evaluation method was used to evaluate the satisfaction degree of children's health care service in Nanjing. Children's health care service organization, service technology, service attitude, service continuity, service cost, service efficiency were evaluated. According to the results of index weight at all levels, the satisfaction degree of Nanjing child health care service was obtained. Results: in an ordered Logistic regression analysis, we found that the educational level and age characteristics were the important factors influencing the attention level of children's health information. Univariate and unconditioned Logistic stepwise regression analysis was performed on the utilization rate of community child health care services. The results indicated that, from the perspective of demand side, family income and education level, The awareness of child health care services in community health service centers was a significant factor affecting the utilization rate of community child health care services. From the point of view of suppliers, the level of doctors, professional equipment, reimbursement ratio and distance from medical treatment are the important factors restricting the utilization of community children's health care services. The overall score of satisfaction evaluation of child health care in Nanjing was 71 between "average" and "satisfactory". In the evaluation of children's health care service satisfaction index, the satisfaction scores of service organization, service technology, service attitude, service continuity, service price and service efficiency were 67.966 / 80.222.71.33 / 74.951 / 69.01 / 74.00 respectively. Conclusion: according to the conclusion of the study, the construction of children's services in Nanjing has made some progress in recent three years, and the level of children's health care has been improved. However, the implementation and utilization of child health care services in the grass-roots community is not high, which to some extent affects the evaluation of the overall child health care satisfaction. In the secondary index of evaluation, the satisfaction of parents in service organization and service cost is low, which suggests that the relevant departments should further improve the charging system, enrich the service items, and implement the classified diagnosis and treatment system.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R179

【参考文献】