School of Public Affairs and Administration, University of Electronic Science and Technology of China, Chengdu, China.
Shenzhen Institute for Advanced Study, University of Electronic Science and Technology of China, Shenzhen, China.
Front Public Health. 2023 Feb 6;11:1037574. doi: 10.3389/fpubh.2023.1037574. eCollection 2023.
To examine the association between primary medical and health preparedness (PMHP), satisfaction with medical and health services (SMHS), and life satisfaction (LS).
Using the latest national representative data from the 2019 Chinese Social Survey and the 2018 Health Statistics Yearbook for each province in China, we conducted multi-level models to test the effect of three aspects of PMHP (the number of primary medical and health institutions (PMHIs), the number of beds in PMHIs, and the number of staff in PMHIs) on LS, and the mediation role of SMHS in this effect.
The number of staff in PMHIs has a significant positive effect on people's LS. Besides, this effect is mediated completely by SMHS. However, the number of PMHIs and the number of beds in PMHIs do not affect LS significantly.
PMHP has a positive impact on LS, but this impact is associated only with the number of staff in PMHIs. Therefore, governments should focus on optimizing human resources in PMHIs to meet the LS needs of individuals.
考察基层医疗与卫生准备（PMHP）、对医疗和卫生服务的满意度（SMHS）与生活满意度（LS）之间的关联。
使用中国 2019 年社会调查和 2018 年各省份卫生统计年鉴的最新全国代表性数据，我们通过多层次模型检验了 PMHP 的三个方面（基层医疗卫生机构数量、基层医疗卫生机构床位数和基层医疗卫生机构人员数）对 LS 的影响，以及 SMHS 在这一影响中的中介作用。
基层医疗卫生机构人员数量对人们的 LS 有显著的正向影响。此外，这种影响完全通过 SMHS 来介导。然而，基层医疗卫生机构数量和基层医疗卫生机构床位数对 LS 没有显著影响。
PMHP 对 LS 有积极影响，但这种影响仅与基层医疗卫生机构的人员数量有关。因此，政府应注重优化基层医疗卫生机构的人力资源，以满足个人的 LS 需求。
