提高医疗服务水平,促进全国人民健康水平提高已经纳入国家战略层面,而优质高效的医疗卫生服务是保障人民得到全方位全周期健康服务的保障和实现途径。通过对35个城市居民医疗服务满意度的问卷调查,得到2019年中国35个城市居民医疗服务满意度指数加权平均值为63。04,介于一般(50)和满意(75)之间,整体上略低于2018年的满意度水平(65。31)。通过四个维度分析影响35个城市居民医疗服务满意度的因素,回归结果表明对提高城市居民医疗服务满意度具有正向作用的因素包括人均可支配收入增长率、医疗服务提供能力、基本医疗保险覆盖率,而基尼系数、30天内身体和心理不健康天数对医疗服务满意度具有负向作用。据此,建议稳步提高医疗服务提供能力,扩大优质医疗服务资源的利用范围,同时提高和稳定基本医疗保险覆盖率,并做好保险基金的使用和管理工作。
<<Improving medical services and the health conditions of the Chinese people has become a national strategy. Quality and efficient medical services are the guarantee and pathway to ensure that all the people get all-round and full-cycle healthcare. According to the questionnaire survey on medical service satisfaction,the 2019 weighted mean of the medical services sub-indies of the 35 cities is 63.04,between “acceptable” (50) and “good” (75),but slightly lower than that of 2018 (65.31). Based on the analysis of the four categories of related influential factors,the regression results show that the positive factors include per capita disposable income,medical care capacity and basic medical insurance coverage,while the negative factors are the Gini coefficient and the number of physically/mentally unhealthy days in the past 30 days. It is therefore suggested that the government might need to improve the medical care capacity steadily and expand the utilization of quality medical service resources,while increasing and stabilizing the coverage of basic medical insurance,and doing a good job in the use and management of insurance funds.
<<Keywords: | Satisfaction With Medical ServicesMedical Care CapacityBasic Medical Insurance CoverageAllocation of Quality Healthcare Resources To Small Towns and Rural Areas |