Residents’ satisfaction with primary medical and health services in Western China

Autor: Weinan Dong, Qingyu Zhang, Chunsheng Yan, Wanling Fu, Linlin Xu
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Health Services Research, Vol 17, Iss 1, Pp 1-10 (2017)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-017-2200-9
Popis: Abstract Background Currently, China is in the process of medical and health care reform, and the establishment of primary medical and health services covering urban and rural residents is an important aspect of this process. Studying the satisfaction of residents of underdeveloped areas with their primary medical and health services and identifying the factors that can increase the satisfaction of different groups may improve patient compliance and ultimately improve health. Moreover, such research may provide a reference for the development of medical and health undertakings in similarly underdeveloped areas. Methods A face-to-face survey was conducted on a stratified random sample of 2200 residents in Gansu by using structured questionnaires. Demographic characteristics were collated, and questionnaires were factor-analysed and weighted using SPSS software to obtain scores for each factor, as well as total satisfaction scores. The characteristics of poorly satisfied populations were determined by a multiple linear regression analysis using SAS software. A cluster analysis was performed using SAS software for classification and a separate discussion of populations. Results The hypertension self-awareness rate (11.29%) of the sampled population was lower than the average hypertension prevalence (23.85%), as recorded in the 2014 Health Statistical Yearbook of the region. The disease knowledge awareness factor was the lowest factor (2.857), whereas the policy awareness factor was the highest factor (4.772). The overall satisfaction was moderate (3.898). The multivariate linear regression model was significant (p
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