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目的了解湖北省农村妇女“两癌”免费检查受检妇女对项目的满意度及影响因素,为提高“两癌”免费检查工作质量提供依据。方法 2014年11—2015年9月在湖北省29个县市区共计100万名参加过“两癌”免费检查的受检妇女中,采用分层整群随机抽样方法抽取6 141名农村妇女进行满意度调查,应用单因素和多因素线性回归分析满意度的影响因素。结果满意度总得分为(45.36±5.25)分,其中环境满意度(9.01±1.16)分、过程满意度(9.01±1.32)分、医生专业满意度(8.93±1.32)分、医生态度满意度(9.23±1.10)分、整体满意度(9.12±1.13)分;多因素线性结果显示,经济水平低的地区受检妇女满意度高于经济水平高的地区(b=-2.539,t=-11.975,P<0.001),由亲友等非行政途径通知的满意度高于由行政途径通知的满意度(b=-2.279,t=-11.243,P<0.001),县妇幼保健院联合乡镇卫生院完成检查的满意度高于县妇幼保健院独立完成的满意度(b=-2.141,t=-7.711,P<0.001),年龄越小对项目满意度越高(b=-0.026,t=-3.338,P=0.001),参加次数对结果无影响。结论湖北省农村妇女对“两癌”免费检查总体满意度高;地区经济水平、通知途径、开展模式和年龄是影响受检妇女满意度的主要因素。
Objective To understand the satisfaction and influencing factors of women in rural areas in Hubei province for free examination of women under investigation and to provide basis for improving the quality of free examination of cancer. Methods From November 2014 to September 2015, a total of 1 million women who participated in the “two cancers” free tests in 29 counties and cities of Hubei Province were enrolled and stratified cluster random sampling method was used to select 6,141 rural residents Women’s satisfaction survey, the use of single factor and multivariate linear regression analysis of satisfaction factors. Results Satisfaction score was (45.36 ± 5.25) points, including satisfaction with environment (9.01 ± 1.16), process satisfaction (9.01 ± 1.32), professional satisfaction with doctor (8.93 ± 1.32), satisfaction with doctor attitude 9.23 ± 1.10), and overall satisfaction (9.12 ± 1.13). The multivariate linear results showed that the women with low economic level had higher satisfaction than those with high economic level (b = -2.539, t = -11.975, P <0.001). The satisfaction of non-administrative channels such as relatives and friends was higher than that of the administrative channels (b = -2.279, t = -11.243, P <0.001) Satisfaction was higher than that of MCH (b = -2.141, t = -7.711, P <0.001). The higher the degree of satisfaction was (b = -0.026, t = -3.338, P = 0.001), the number of participation had no effect on the result. Conclusions The rural women in Hubei Province are generally satisfied with the free examination of “two cancers”. The regional economic level, the way of informing, the mode of development and the age are the main factors that affect the satisfaction of women under examination.