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目的:探讨参合农民对新农合定点医疗机构服务质量的评价情况,为改进其服务质量提供科学依据。方法:2007年1月采用分层抽样和单纯随机抽样相结合,以问卷方式调查了506名昆明市西山区参合农民对新农合定点医疗机构服务质量的意见和建议。结果:参合农民选择县乡级医院门诊就诊的比例低于省市级医院;县级医院收费比乡镇卫生院高;山区和半山区的农民认为县乡村级医疗机构交通不方便;村卫生室的设备陈旧。结论:西山区县乡级医疗机构布局存在不合理现象;加强对县级医院医疗行为的监管,避免产生不必要的医疗费用;政府应增加对村卫生室的投入。
Objective: To discuss the evaluation of participating farmers on the service quality of new rural cooperative medical institutions, and provide a scientific basis for improving their service quality. Methods: In January 2007, stratified sampling and simple random sampling were used to investigate the opinions and suggestions of 506 participating farmers in Xishan District of Kunming on the service quality of new rural cooperative medical institutions by questionnaire. Results: The proportion of peasants choosing outpatient clinics at county and township hospitals was lower than that of provincial and municipal hospitals; the charges at county hospitals were higher than that of township hospitals; peasants in mountainous and semi-mountainous areas considered the transportation of county-level medical institutions inconvenient; Outdated equipment. Conclusion: The layout of county and township medical institutions in Xishan district is irrational. The supervision of medical behaviors in county hospitals is strengthened to avoid unnecessary medical expenses. The government should increase the investment in village clinics.