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目的:了解药品零差率背景下某市县级医院门诊患者医疗服务需求、利用和满意度状况。方法:以现场随机拦截法对某市990名县级医院门诊患者进行问卷调查,分析药品零差率政策知晓、医疗服务需求、利用与满意度等内容。结果:门诊患者对于以药品零差率为核心的综合改革政策知晓率为80.1%,自我健康总体评价以比较健康为主(43.7%),从家步行到最近的基层医疗机构、三级医院需要时间以20~29分钟(29.7%)、1小时以内为主(48.8%),51.7%的首选在基层医疗机构,年平均就诊次数为2.7±2.4次(0~20次),就诊总医疗费为299.9±315.9元(10.0~3 000.0元),自付比例为(75.6±28.4)%(0~100.0%),80.3%的认为医院就医环境满意,40.0%的认为医务人员对于患者要求反应一般与不满意。结论:某市县级医院门诊患者对医疗服务反应性呈现出较好发展态势,要进一步加强宣传,提高药品零差率政策知晓率,加强医患沟通,提高医疗服务可及性。
OBJECTIVE: To understand the demand, utilization and satisfaction status of medical service in outpatients in a city-level hospital under the background of drug zero-difference rate. Methods: A randomized interception method was used to survey 990 county-level outpatient clinics in a city and analyze the knowledge of drug zero-odds policy, medical service needs, utilization and satisfaction. Results: Outpatient awareness rate of 80.1% for comprehensive reform policy centered on drug zero rate of deviation, overall self-evaluation of health was mainly based on comparative health (43.7%), walking from home to the nearest grassroots level medical institutions and tertiary hospitals needed The time was 20-29 minutes (29.7%) within 1 hour (48.8%), and 51.7% was the first choice in primary medical institutions. The annual average number of visits was 2.7 ± 2.4 times (0 ~ 20 times). The total medical treatment fee , Which was 299.9 ± 315.9 yuan (10.0-3000.0 yuan). The proportion of self-payment was (75.6 ± 28.4)% (0-100.0%), 80.3% of them thought the hospital was satisfied with the medical environment, and 40.0% thought the medical staff responded to the request of the patients And not satisfied. Conclusion: The outpatient service of county-level hospitals in a certain city shows a good development trend to the medical service. It is necessary to further strengthen publicity, raise the awareness rate of zero-slip drug policy, strengthen the communication between doctors and patients, and improve the accessibility of medical services.