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目的调查基层高血压患者对医疗卫生机构开展高血压基本公共卫生服务的满意度情况,为进一步完善基层医疗卫生管理提供依据。方法采用分层多阶段随机抽样方法,抽取城区和乡镇参加基本公共卫生服务高血压管理满1年的35岁及以上700例高血压患者进行体格检查,并以调查问卷形式,调查患者对基层卫生服务利用及满意度。结果乡镇高血压患者通常以村卫生室和乡镇医院就诊为主,分别占49.5%和35.0%,而城区患者以社区卫生服务中心和县级及以上医院为主,分别占44.0%和38.8%,差异有统计学意义(P<0.01)。对社区卫生服务机构的总评分为(6.22±2.75)分,城区[(7.61±2.47)分]高于乡镇[(5.05±2.42)分],差异有统计学意义(P<0.01),服务态度评价得分最高,为(1.17±0.61)分,血压控制效果评价得分最低,为(0.75±0.66)分,各维度评分城区均高于乡镇,差异均有统计学意义(P<0.01)。结论被纳入管理的高血压患者对基层卫生服务机构卫生服务满意度尚可,利用度有待进一步提升。
Objective To investigate the satisfaction of patients with primary hypertension with hypertension and essential public health services in medical and health institutions, and to provide basis for further improving primary health care management. Methods A stratified multi-stage random sampling method was used to examine the physical examination of 700 hypertensive patients aged 35 years and over who had been in urban and rural areas for over one year after they participated in the management of essential public health service hypertension. The questionnaire was used to investigate the effect of primary health care Service utilization and satisfaction. Results The township hypertension patients were mainly treated by village clinics and township hospitals, accounting for 49.5% and 35.0% respectively, while those in urban areas were mainly community health service centers and county-level hospitals, accounting for 44.0% and 38.8% respectively. The difference was statistically significant (P <0.01). The total score of community health service institutions was (6.22 ± 2.75) points, while that of urban areas was (7.61 ± 2.47) points higher than that of township (5.05 ± 2.42 points), with significant difference (P0.01) The highest score was (1.17 ± 0.61) points, the lowest score of blood pressure control was (0.75 ± 0.66) points, and the scores in all dimensions were higher than those in townships (P <0.01). Conclusion Hypertensive patients who are under management are satisfied with the health services of primary health care institutions and the degree of utilization needs to be further improved.