Newman R D, Gloyd S, Nyangezi J M, Machobo F, Muiser J
University of Washington School of Medicine, Seattle, USA.
Health Policy Plan. 1998 Jun;13(2):174-80. doi: 10.1093/heapol/13.2.174.
The objective of the study was to describe ambulatory health care services, determine the level of client satisfaction, and identify obstacles to care in a rural area of Mozambique. Exit surveys at 34 health clinics in Manica Province were completed on a sample of 879 adults representing between 1% and 2% of the average monthly visit totals at each clinic. Eighty-three per cent of interviewees were women. Just over half of the visits were for paediatric patients. Men were more likely to be at the clinic for their own health care needs than women (81% vs. 40%, p < 0.001). Of patients seen for acute illness, 45% were examined, 22% received preventive education, and 23% received prognostic information. Overall, 55% of interviewees believed that the service they received was good or very good, 32% rated it as fair, and 13% as poor. Satisfaction was positively associated with increased training level of the provider (p < 0.005), and shorter waiting times (p < 0.001). The most common complaints about the clinic visits were lack of adequate transportation, long waiting times, lack of physical examinations, and failure to receive prescribed medications. These findings suggest that the majority of Mozambicans interviewed are moderately satisfied with the available outpatient services in Manica. Provider training, provider availability and distribution of medicines were areas identified by respondents as needing improvement.
该研究的目的是描述门诊医疗服务，确定客户满意度水平，并找出莫桑比克农村地区的就医障碍。在马尼卡省的34家健康诊所对879名成年人进行了出院调查，这些样本占每个诊所月均就诊总数的1%至2%。83%的受访者为女性。略超过半数的就诊是为了儿科患者。男性因自身医疗需求前往诊所的可能性高于女性（81%对40%，p<0.001）。在因急性疾病就诊的患者中，45%接受了检查，22%接受了预防教育，23%获得了预后信息。总体而言，55%的受访者认为他们获得的服务良好或非常好，32%认为一般，13%认为较差。满意度与提供者培训水平的提高（p<0.005）以及较短的等待时间（p<0.001）呈正相关。对诊所就诊最常见的抱怨是交通不便、等待时间长、缺乏体格检查以及未拿到处方药。这些结果表明，接受采访的大多数莫桑比克人对马尼卡现有的门诊服务中度满意。受访者认为提供者培训、提供者可及性和药品分发是需要改进的方面。
