Li Wen Zhen, Gan Yong, Zhou Yan Feng, Chen Ya Wen, Li Jing, Kkandawire Naomiem, Hu Sai, Qiao Yan, Lu Zu Xun
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China.
Biomed Environ Sci. 2017 Sep;30(9):685-690. doi: 10.3967/bes2017.092.
The gatekeeper policy has been implemented for approximately ten years on a pilot population in China. It is necessary to assess the satisfaction of patients utilizing community health service (CHS) under the gatekeeper system. Our study showed that the cognition of gatekeeper policy was associated with four dimensions including doctor-patient relationships, information and support, organization of care, and accessibility (P < 0.001). One or more factors such as gender and self-perceived health scores also affected their satisfaction. General practitioners must be prepared to focus on these aspects of information and support, organization of care, and accessibility as indicators of potential opportunities for improvement. Additionally, policymakers can improve patients' satisfaction with CHS by strengthening their awareness of the gatekeeper policy.
在中国，守门人政策已在试点人群中实施了约十年。有必要评估在守门人制度下利用社区卫生服务（CHS）的患者的满意度。我们的研究表明，对守门人政策的认知与医患关系、信息与支持、护理组织和可及性这四个维度相关（P < 0.001）。性别和自我感知健康评分等一个或多个因素也会影响他们的满意度。全科医生必须准备好关注信息与支持、护理组织和可及性等方面，将其作为潜在改进机会的指标。此外，政策制定者可以通过加强患者对守门人政策的认识来提高患者对社区卫生服务的满意度。
