公众对中国卫生系统的满意度和信任以及相关因素:一项混合方法研究
Yanming Lin1, Guoting Zhang1, Hongqiao Fu2
1School of Public Health, Peking University Health Science Center, Beijing, China.
BMC public health
|October 6, 2025
概括
2011年至2021年期间,公众对中国卫生系统的满意度和信任显著改善. 影响这些观念的关键因素包括医疗保健经验和可访问性.
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
- 卫生社会学 卫生社会学
背景情况:
- 公众对医疗保健系统的看法对于绩效评估和指导改进至关重要.
- 了解公众满意度和信任的趋势对于制定卫生政策至关重要.
研究的目的:
- 从2011年到2021年,评估公众对中国卫生系统的满意度和信任度的变化.
- 确定影响公众对中国卫生系统看法的关键因素.
主要方法:
- 一种混合方法的方法,结合了定量调查数据和定性深度访谈.
- 分析中国总社会调查 (CGSS) 的健康和医疗保健模块 (2011-2021年).
- 31个关键告密者采访,以探索满足感和信任的根本原因.
主要成果:
- 公众满意度从2011年的60.58%上升到2021年的78.61%;信任度从48.43%上升到71.46%.
- 年龄,教育程度,收入,对医生的信任,以及对医疗保健的可获得性,都显著影响了满意度和信任度.
- 负面的医疗保健经验通过影响对医生的信任和可访问性认知,降低了满意度.
结论:
- 在公众满意度和对中国卫生系统的信任度上,观察到显著的改善.
- 医疗保健服务绩效,负面经验,医生信任和可访问性是影响关键因素.
- 改革应侧重于减少财政障碍,改善医生和患者之间的互动,加强公众沟通.
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