社区美沙酮维持治疗者满意度及影响因素

发布时间：2018-07-03 20:07

本文选题：社区美沙酮维持治疗 + 辅助服务　；参考：《中国公共卫生》2014年09期

【摘要】：目的了解广东省15家社区美沙酮维持治疗门诊的辅助服务提供情况及受治者满意度影响因素。方法对广东省15家社区美沙酮维持治疗门诊的747例受治者进行横断面调查,了解其一般人口学特征、实际接受到的门诊服务情况、期望得到的门诊服务,以及对门诊的满意度。结果 747例受治者中,男性671例,女性76例,平均年龄为(38.34±5.84)岁;大部分受治者接受过门诊提供的入组时美沙酮知识讲解(95.72%)、剂量调整(96.12%)、健康教育(89.02%)及定期讨论病情(85.27%)等服务,曾接受过门诊医生为其制定治疗计划(57.16%)、提供艾滋病治疗服务(52.21%)、丙肝转诊服务(61.85%)及丙肝药物治疗服务(50.47%)的比例则较低;半数以上受治者期望门诊像医院一样有夜间门诊(54.22%),仅少部分受治者期望门诊维持现状(25.03%)、提供疾病治疗或转介服务(18.21%)及期望治疗收费调整(16.20%);所有受治者对门诊满意度的平均得分为(69.74±12.08)分。多重线性回归结果显示,剂量调整(β'=0.11)、制定治疗计划(β'=0.08)、定期讨论病情(β'=0.09)、入组时美沙酮知识讲解(β'=0.08)、健康教育(β'=0.09)、丙肝药物治疗(β'=0.17)、艾滋病药物治疗(β'=-0.15)、期望门诊维持现状(β'=0.09)、治疗收费的调整(β'=-0.13)、提供疾病治疗或转介服务(β'=-0.11)10个因素影响受治者对门诊辅助服务的满意度。结论目前MMT门诊提供的辅助服务尚未能满足受治者需求,门诊服务质量仍有待进一步提高,以提高受治者的满意度。
[Abstract]:Objective to investigate the status of methadone maintenance outpatient service in 15 communities of Guangdong province and the influencing factors of patients' satisfaction. Methods A cross-sectional survey was conducted in 747 patients with methadone maintenance outpatient service in 15 communities in Guangdong Province to find out the general demographic characteristics, the actual outpatient service, the expected outpatient service and the satisfaction with the outpatient service. Results among 747 patients, 671 were male and 76 were female, the average age was (38.34 卤5.84) years, most of the patients had received the knowledge of methadone from outpatient service (95.72%), dose adjustment (96.12%), health education (89.02%) and regular discussion (85.27%). The proportion of doctors who had made treatment plans for them (57.16%), AIDS treatment services (52.21%), hepatitis C referral services (61.85%) and drug treatment services for hepatitis C (50.47%) were lower. More than half of the patients expected to have night outpatient services like hospitals (54.22%), only a few expected to maintain the status quo (25.03%), to provide disease treatment or referral services (18.21%) and to adjust the charges for expected treatment (16.20%), and all patients were satisfied with the outpatient service. The average score of degree was (69.74 卤12.08). Multiple linear regression results show that, Dose adjustment (尾 -0.11), treatment plan (尾 -0.08), regular discussion of the condition (尾 -0.09), knowledge of methadone (尾 -0.08), health education (尾 -0.09), drug therapy for hepatitis C (尾 -0.17), drug therapy for AIDS (尾 -0.15), expectation of out-patient care (尾 -0.09), adjustment of treatment fees (尾 -0.13), provision of disease Ten factors (尾 -0.11) affected the patients' satisfaction with the outpatient service. Conclusion at present, the auxiliary services provided by MMT outpatient service can not meet the needs of the patients, and the quality of the outpatient service needs to be further improved in order to improve the satisfaction of the patients.
【作者单位】：中山大学公共卫生学院医学统计与流行病学系中山大学流动人口卫生政策研究中心;
【基金】：国家自然科学基金(71173245)
【分类号】：R749.6

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