Sohrabi Mohammad-Reza, Albalushi Rima Mohammad
Associate Professor of Community Medicine, Department of Community Medicine, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2011 Jun;16(6):756-62.
Primary health care system is the basic core of public service provision in Iran. This study aimed to assess clients' satisfaction with primary health care in Tehran, the capital of Iran, as a metropolitan.
Through a cross-sectional study in 2009-10, four urban primary health care clinics were selected through stratified random sampling. Four hundred participants were interviewed in the selected clinics about their satisfaction with the primary health care services and setting. Six domains of satisfaction including accessibility to services, continuity of care, humaneness of staff, comprehensiveness of care, provision of health education and effectiveness of services were calculated from selected variables. The descriptive statistics, chi-square and t-tests were used when appropriate.
The mean age of users of health services was 31.3 years (SD=9.6). Thirteen percent of participants were male. The most common reasons for asking health services reported as vaccination, family planning and children care. Overall, primary health care services were suitable for eighty percent of the participants. The mean and standard deviation for Access to services was 2.11 (SD=3.44), continuity of care was -0.35 (SD=3.49), humanness of staff was 3.93 (SD=5.70), comprehensiveness of care was -0.53 (SD=3.66), provision of health educational materials was -1.45 (SD=3.64) and effectiveness of services was 4.30 (SD=7.47).
Primary health care is a comprehensive and suitable strategy to provide health services in public health. Package of services in primary health care may affect clients' satisfaction. Using family doctors may improve the indices.
初级卫生保健系统是伊朗公共服务提供的基本核心。本研究旨在评估伊朗首都德黑兰作为一个大都市的居民对初级卫生保健的满意度。
通过2009 - 2010年的横断面研究，采用分层随机抽样选取了四家城市初级卫生保健诊所。在选定的诊所对400名参与者进行了访谈，询问他们对初级卫生保健服务和环境的满意度。从选定变量中计算出六个满意度领域，包括服务可及性、护理连续性、工作人员的人道性、护理全面性、健康教育提供情况和服务效果。在适当的时候使用了描述性统计、卡方检验和t检验。
卫生服务使用者的平均年龄为31.3岁（标准差 = 9.6）。13%的参与者为男性。报告寻求卫生服务的最常见原因是疫苗接种、计划生育和儿童护理。总体而言，80%的参与者认为初级卫生保健服务是合适的。服务可及性的均值和标准差为2.11（标准差 = 3.44），护理连续性为 - 0.35（标准差 = 3.49），工作人员的人道性为3.93（标准差 = 5.70），护理全面性为 - 0.53（标准差 = 3.66），健康教育材料的提供情况为 - 1.45（标准差 = 3.64），服务效果为4.30（标准差 = 7.47）。
初级卫生保健是在公共卫生中提供卫生服务的一项全面且合适的策略。初级卫生保健服务包可能会影响客户的满意度。使用家庭医生可能会改善这些指标。
