老人民共和国成年人对卫生系统的利用率和感知质量:来自全国代表性的电话调查的证据
Amit Aryal1,2, Emma Clarke-Deelder3,4, Souksanh Phommalangsy5
1Swiss Tropical and Public Health Institute, Allschwil, Switzerland. amit.aryal@swisstph.ch.
BMC public health
|February 23, 2024
概括
这项研究使用"人民之声调查"来衡量老人民民主共和国卫生系统的表现. 结果显示,尽管保险取得了进展,但护理质量,未满足的需求和歧视存在重大差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生系统绩效测量 卫生系统绩效测量
背景情况:
- 质量卫生服务被世界卫生组织定义为有效,安全,以人为中心,及时,公平,综合和高效.
- 了解患者的观点对于评估实现世卫组织质量卫生服务目标的进展至关重要.
- 许多低收入和中等收入国家没有系统地收集有关公民对医疗保健的经验的数据.
研究的目的:
- 从成年用户和非用户的角度来衡量老人民共和国卫生系统的表现.
- 评估医疗保健的使用情况,用户报告的护理质量,以及预防服务的覆盖范围.
- 将人们的声音融入到初级保健绩效测量中.
主要方法:
- 在2022年使用人民声音调查 (PVS) 对老民主共和国的成年人口 (18+) 进行了一项横截面调查.
- 基于电话的调查旨在捕捉用户体验并将其整合到绩效指标中.
- 采用最新的MICS调查的抽样权重生成了全国代表性的估计.
主要成果:
- 2007年成年人完成了调查.
- 在过去的一年中,65%的人参观了医疗机构,61%的人参观了医院,而不是初级保健中心.
- 28%的人报告经历不良/不公平,16%的人有未满足的护理需求,12%的人面临歧视;预防性服务的使用率很低 (12%的乳房镜,59%的血压查).
结论:
- 这是老人民共和国第一个从用户角度衡量卫生系统绩效的全国代表性调查.
- 老人民共和国的卫生系统仍然存在重大差距,包括初级保健绕道,未满足的需求,歧视和低质量的感知.
- 医疗保险覆盖的进步并没有完全转化为改善用户体验或公平获得护理.
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