在中国进行医疗改革后,公众对卫生系统的满意度
Lili Kang1, Tianyi Zhang2, Bensong Xian3
1School of Health Management, Fujian Medical University, Fuzhou, 350122, Fujian, China.
Health research policy and systems
|December 4, 2023
概括
尽管进行了改革,但公众对中国卫生系统的满意度并没有得到改善. 感知到的护理质量是关键,但收入和保险等以政策为重点的因素对农村和城市地区来说分别至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 中国在2009年启动了第三阶段的卫生系统改革.
- 十年后,卫生系统取得了显著的进展,但公众的满意度仍然停滞不前.
- 这项研究研究了影响公众满意度的因素以及对护理质量感知的作用.
研究的目的:
- 分析影响公众对中国卫生系统满意度的因素.
- 检查对护理质量的感知对公众满意度的影响.
- 确定可调整政策的因素,以改善公众的看法.
主要方法:
- 利用了五波纵向,全国代表的中国家庭小组研究 (CFPS) 数据.
- 样本大小为145,843个观察结果.
- 采用双向固定效应的订购物流模型进行分析.
主要成果:
- 感知到的良好的护理质量与农村和城市环境中的卫生系统满意度有积极的相关性.
- 在农村地区,老年人和受过高等教育的人表示满意度较低;收入和医疗专业人员密度提高了满意度.
- 在城市地区,医疗保险和良好的健康自我评价增加了满意度;婚姻状况和居住在西部地区降低了它.
结论:
- 仅仅是医疗保健提供者的专业知识和设施质量并不能保证公众的满意度.
- 政策制定者必须解决影响公众看法的因素.
- 确定了几个可调整政策的因素,以提高公众对中国农村和城市卫生系统的认识.
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