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沙特阿拉伯初级卫生保健机构和服务的用户满意度决定因素

Determinants of users' satisfaction with primary health care settings and services in Saudi Arabia.

作者信息

al-Qatari G, Haran D

机构信息

Department of Primary Health Care, Qateef, Eastern Province, Saudi Arabia.

出版信息

Int J Qual Health Care. 1999 Dec;11(6):523-31. doi: 10.1093/intqhc/11.6.523.

DOI:10.1093/intqhc/11.6.523
PMID:10680949
Abstract

OBJECTIVE

To identify the components of primary health care that cause most concern to service users and to identify socio-demographic and other factors associated with satisfaction among the users of primary health care centres.

DESIGN

Interviews conducted by well-trained interviewers with a random sample of heads of households. The questionnaires were composed of questions that measure the extent of satisfaction with settings and services in the primary health care centres using a 5-point rating scale from very satisfied to very dissatisfied.

SETTING

The community of Qateef, eastern Saudi Arabia.

STUDY PARTICIPANTS

A sample of 802 households representing 838 families was chosen randomly from the housing lists of the primary health care centres in Qateef. There were 40 vacant houses and nine refusals. Thus the number of heads of households actually interviewed was 789.

RESULTS

Waiting area structure, confidentiality measures and environmental structure were the areas that caused most concern to service users. The factors that showed the greatest association with satisfaction were the type of the primary health care centre building (purpose-built or rented), literacy status of the household head (literate or illiterate), the extent of the primary health care centre utilization (regular or infrequent). Surprisingly, age showed no association when other characteristics of the respondents were adjusted for, and sex was less important than in other studies.

CONCLUSION

How regular the respondent was in using his or her primary health care centre was more predictive in deciding the extent of satisfaction with the various components in the study than the other variables. Socio-demographic factors played minor roles in deciding the extent of satisfaction, although each had a deciding role with one or more, but not all, components.

摘要

目的

确定引起服务使用者最关注的初级卫生保健组成部分,并确定与初级卫生保健中心使用者满意度相关的社会人口学及其他因素。

设计

由训练有素的访谈者对随机抽取的户主进行访谈。问卷由一些问题组成,这些问题使用从非常满意到非常不满意的5分制量表来衡量对初级卫生保健中心环境和服务的满意程度。

地点

沙特阿拉伯东部的盖提夫社区。

研究参与者

从盖提夫初级卫生保健中心的住房名单中随机抽取了802户家庭作为样本,代表838个家庭。有40所空房,9户拒绝参与。因此,实际接受访谈的户主数量为789人。

结果

等候区结构、保密措施和环境结构是引起服务使用者最关注的方面。与满意度关联最大的因素是初级卫生保健中心建筑的类型(专用或租用)、户主的识字状况(识字或不识字)、初级卫生保健中心的使用频率(经常或不经常)。令人惊讶的是,在对受访者的其他特征进行调整后,年龄没有显示出关联,而且性别在决定满意度方面不如其他研究中那么重要。

结论

与其他变量相比,受访者使用其初级卫生保健中心的频率在决定对研究中各个组成部分的满意程度方面更具预测性。社会人口学因素在决定满意程度方面作用较小,尽管每个因素在一个或多个(但不是所有)组成部分上具有决定性作用。

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