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埃及亚历山大市健康教育与信息部门所提供服务的面向消费者的评估。

Consumer-oriented evaluation of the service provided by the department of health education and information in Alexandria, Egypt.

作者信息

Wahba Mona, El-Bourgy Mohamed, Abdel-Gawwad Ensaf, Abdel-Kader Hoda, Abou-Zeid Azza

机构信息

Health Education and Behavior Sciences, Department of Health Administration and Behavior Sciences, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

Hospital Administration, Department of Health Administration and Behavior Sciences, High Institute of Public Health, Alexandria University, Alexandria, Egypt.

出版信息

J Egypt Public Health Assoc. 2017 Jun 1;92(2):116-127. doi: 10.21608/epx.2018.8949.

DOI:10.21608/epx.2018.8949
PMID:30184409
Abstract

BACKGROUND

Assessing consumers' satisfaction with health education services can help in monitoring the quality of provided service and understanding consumers' perceptions and utilization patterns of the service.

MATERIALS AND METHODS

A cross-sectional descriptive study targeting consumers attending the health education sessions provided by Alexandria Department of Health Education and Information (DHEI) at different governmental health facilities and nongovernmental organizations was performed. A simple random sample of 400 participants was interviewed using an interview questionnaire assessing respondents' socioeconomic characteristics, health literacy, attitude toward health education services, and satisfaction with the health education service provided by the DHEI.

RESULTS

Approximately 70% of the consumers' sample showed fair health literacy level. Most of the sample mentioned physicians a credible source of health knowledge followed by 58.8% who selected health education sessions as another trusted health information source. Overall, 90% of the sample was highly satisfied by the service overall. Behavior and skills of the service providers were the most satisfying aspects, whereas health education materials obtained the least satisfaction. Consumers' educational level and healthcare affordability proved to have a significant positive influence on their satisfaction (β=0.307 and 0.191, respectively) whereas occupation and family income showed a significant negative influence (P<0.001).

CONCLUSION

The service provided by Alexandria DHEI is highly satisfying to its target audience mainly in terms of providers and accessibility. Enhancing the technical skills of the department staff through training is highly recommended. The department is also recommended to advocate for the credibility of social workers and health visitors as health educators among the community.

摘要

背景

评估消费者对健康教育服务的满意度有助于监测所提供服务的质量,并了解消费者对该服务的认知和使用模式。

材料与方法

对参加亚历山大健康教育与信息部(DHEI)在不同政府卫生机构和非政府组织举办的健康教育课程的消费者进行了一项横断面描述性研究。采用访谈问卷对400名参与者进行简单随机抽样,问卷评估了受访者的社会经济特征、健康素养、对健康教育服务的态度以及对DHEI提供的健康教育服务的满意度。

结果

约70%的消费者样本显示出中等健康素养水平。大多数样本提到医生是可靠的健康知识来源,其次58.8%的人选择健康教育课程作为另一个可信的健康信息来源。总体而言,90%的样本对该服务总体高度满意。服务提供者的行为和技能是最令人满意的方面,而健康教育材料的满意度最低。消费者的教育水平和医疗保健可承受性对其满意度有显著的正向影响(β分别为0.307和0.191),而职业和家庭收入则有显著的负向影响(P<0.001)。

结论

亚历山大DHEI提供的服务在很大程度上令其目标受众满意,主要体现在服务提供者和可及性方面。强烈建议通过培训提高该部门工作人员的技术技能。还建议该部门在社区中倡导社会工作者和健康访视员作为健康教育者的可信度。

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