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[接种疫苗服务额外花费的时间对家长总体满意度的影响]

[Impact of additional time spent for vaccination services on overall satisfaction rate in parents].

作者信息

Cao M, Zhao J H, Zhang J, Yu W Z, Cao L, Ye J K, Wu J, Yin Z D, Liu Y L, Cao X Q, Shu Y C, Wang H T, Wang X L, Huang C R

机构信息

School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 May 10;42(5):833-839. doi: 10.3760/cma.j.cn112338-20200803-01013.

Abstract

To understand the overall satisfaction rate with vaccination services in parents of children, and the impact of additional time consumed for vaccination service on overall satisfaction rate. From December 2019 to January 2020, a total of 3 178 parents of 0-3 years old children were investigated to collect the information about their basic characteristics, additional time spent for vaccination service and overall satisfaction through questionnaires. Binary logistic regression model and restricted cubic spline model were used to evaluate the impact of additional time spend on the overall satisfaction rate. The overall satisfaction rate of parents with vaccination services was 92.32%. The median time for parents to move from home to vaccination clinic was 10.00 (10.00, 20.00) minutes, the median waiting time to make an appointment was 10.00 (5.00, 15.00) minutes, the median waiting time for vaccination was 5.00 (3.00, 10.00) minutes, and the median total additional time spent was 30.00 (20.00, 45.00) minutes. The binary logistic regression analysis showed that after adjusting the relevant factors, the main factors affecting the overall satisfaction rate were the waiting time for making an appointment (the 4- minutes group 8- minutes group: =1.863, 95%: 1.307-2.657), waiting time for vaccination (the <4 minutes group 8- minutes group: =1.529, 95%: 1.102-2.120; the 4- minutes group . 8- minutes group: =1.534, 95%: 1.104-2.130), total additional time spent (the 15- minutes group 30- minutes group: =1.470, 95%: 1.094-1.976). Restricted cubic spline analysis showed that the waiting time for making an appointment (non-linear: =13.18, =0.001), the waiting time for vaccination (non-linear: =13.50, =0.001), and the total additional time consumed (non-linear: =9.38, =0.009) showed a non-linear inverted "V" dose response relationship to the overall satisfaction of vaccination services. The waiting time for parents to make an appointment, the waiting time for vaccination and the total additional time spent for receiving vaccination services affected the overall satisfaction rate of the vaccination services. And the waiting time for making an appointment was the most important factor, and it is necessary to shorten the waiting time for appointment. It is suggested that the vaccination clinic should make use of information technology (such as WeChat public account, APP) to make accurate appointments, make appointments to the time period to control the number of people within time period.

摘要

了解儿童家长对疫苗接种服务的总体满意度,以及疫苗接种服务额外耗时对总体满意度的影响。2019年12月至2020年1月,共调查了3178名0至3岁儿童的家长,通过问卷调查收集其基本特征、疫苗接种服务额外耗时及总体满意度等信息。采用二元逻辑回归模型和受限立方样条模型评估额外耗时对总体满意度的影响。家长对疫苗接种服务的总体满意度为92.32%。家长从家到疫苗接种门诊的中位时间为10.00(10.00,20.00)分钟,预约等待中位时间为10.00(5.00,15.00)分钟,接种等待中位时间为5.00(3.00,10.00)分钟,额外总耗时中位时间为30.00(20.00,45.00)分钟。二元逻辑回归分析显示,调整相关因素后,影响总体满意度的主要因素为预约等待时间(4分钟组对比8分钟组:β =1.863,95%CI:1.307 - 2.657)、接种等待时间(<4分钟组对比8分钟组:β =1.529,95%CI:1.102 - 2.120;4分钟组对比8分钟组:β =1.534,95%CI:1.104 - 2.130)、额外总耗时(15分钟组对比30分钟组:β =1.470,95%CI:1.094 - 1.976)。受限立方样条分析显示,预约等待时间(非线性:χ² =13.18,P =0.001)、接种等待时间(非线性:χ² =13.50,P =0.001)和额外总耗时(非线性:χ² =9.38,P =0.009)与疫苗接种服务总体满意度呈非线性倒“V”型剂量反应关系。家长的预约等待时间、接种等待时间及接受疫苗接种服务的额外总耗时影响疫苗接种服务的总体满意度。且预约等待时间是最重要的因素,有必要缩短预约等待时间。建议疫苗接种门诊利用信息技术(如微信公众号、APP)进行精准预约,将预约时间段化,控制各时间段人数。

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