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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (7): 565-569.doi: 10.3969/j.issn.1000-6621.2014.07.009

• 论著 • 上一篇    下一篇

中国全球基金结核病项目地区流动人口结核病患者对就诊服务的满意度调查分析

王嘉 李涛 张立杰 何敏 姜世闻   

  1. 102206 北京，中国疾病预防控制中心结核病预防控制中心办公室（王嘉），统计监测部（李涛），中国全球基金结核病项目办公室（张立杰、何敏），政策规划部（姜世闻）
  • 收稿日期:2014-03-10 出版日期:2014-07-10 发布日期:2014-08-07
  • 通信作者: 姜世闻 E-mail:jiangsw@chinatb.org
  • 基金资助:

    中国全球基金结核病项目 （CHN-S10-G14-T）

Investigation on the service satisfaction of tuberculosis patients of floating population in China global fund TB program area

WANG Jia,LI Tao,ZHANG Li-jie, HE Min,JIANG Shi-wen   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention,Beijing 102206, China
  • Received:2014-03-10 Online:2014-07-10 Published:2014-08-07
  • Contact: JIANG Shi-wen E-mail:jiangsw@chinatb.org

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摘要： 目的 了解中国全球基金结核病项目地区流动人口肺结核患者对结核病就诊服务的满意程度，为进一步改善流动人口结核病医疗服务提供依据。 方法 2006年10月1日至2012年6月30日期间，选取中国全球基金项目地区作为研究现场，采取单纯随机抽样抽取12个项目省的31个县（区）作为患者满意度调查的项目县（区），通过问卷调查了解满意程度，共发放问卷614份,得到有效问卷607份，有效应答率98.9%（607/614）。利用软件EpiData 3.1并采用双录入的方法进行数据录入,通过软件SPSS 17.0对数据进行统计学分析。采用卡方检验对可能影响患者满意度的因素进行相关性分析。所有P值均表示双侧概率，P<0.05为差异有统计学意义。 结果  患者对结核病就诊服务总体满意度为77.9%（473/607）。各方面满意度从高到低是：对医护人员接诊服务态度满意度（88.6%，538/607）、医生所介绍的肺结核相关知识满意度（84.0%，510/607）、对就诊流程方便性满意度（82.4%，500/607）、目前的免费政策和诊断治疗所需的花费满意度（60.5%，367/607）。不同年龄段、痰菌类型的患者满意度情况有差别,其中在“健康宣教”方面，涂阳患者的满意度为86.6%（207/239），与涂阴患者的满意度（79.6%，293/368）相比较高，差异有统计学意义(χ2=4.878，P=0.027)；在“补助效果”方面，涂阳患者的满意度为67.8%（145/214），与涂阴患者的满意度（57.8%，190/329）相比较高(χ2=5.174，P=0.023)；在“就诊流程”方面，50岁以上患者的满意度为92.0%(81/88)与＜30岁组（78.2%，204/261）和30～岁组（83.3%，215/258）相比较高,差异有统计学意义(χ2=9.023，P=0.011)。 结论 目前流动人口肺结核患者对结核病就诊服务整体满意度较好，但仍需改进就诊流程，同时需进一步扩大免费政策，降低患者诊疗服务所需花费，从而进一步提高患者满意度。

关键词: 结核, 肺, 居住流动性, 病人满意度

Abstract: Objective  To investigate on the service satisfaction of tuberculosis patients of migrant population, to provide the basis for further improvement of the medical service of the floating population.  Methods Thirty one counties in 12 provinces were selected as study sites which were selected by simple random sampling in the China Global Fund Program area. A questionnaire was adopted in the survey, the total questionnaire were 614,and 607 valid questionnaires were received. The response rate was 98.9%（607/614）.  Results The overall satisfaction rate of patient for tuberculosis medical service was 77.9%（473/607）.Satisfaction levels from highest to lowest are: reception service for health care staff (88.6%,538/607), doctors described knowledge of tuberculosis (84.0%,510/607), treatment processes (82.4%,500/607). The lowest are the free policy and the required cost of diagnosis and treatment which were 60.5%（367/607）.The satisfaction level varied by age and type of sputum. In terms of satisfaction level with health education, the smear positive patient had higher satisfaction(86.6%,207/239) than smear negative patients(79.6%,293/368）,and the difference was statistically significant(χ2=4.878, P=0.02). In terms of satisfaction level with subsidies, 67.8%（145/214）of smear positive patient were feel satisfied, which is higher than smear negative patients (57.8%,190/329）, The difference was statistically significant(χ2=5.174，P=0.023). In terms of satisfaction level with treatment process, the patient elder than 50 years old had higher level of satisfaction (92.0%,81/88) than the patients younger than 30 years old （78.2%，204/261）and 30-50 years old （83.3%，215/258）. The difference was statistically significant (χ2=9.023, P=0.011).  Conclusion At present the overall satisfaction of pulmonary tuberculosis patients in floating population on tuberculosis treatment services is good. But still need to improve the treatment process, expand the free policy, reduce the cost in treatment services and further improve the patient satisfaction.

Key words: Tuberculosis, pulmonary, Residential mobility, Patient satisfaction

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