Qian Guohua, Yang Jie, Ding Xiaofei, Xu Miao, Yue Qingqing, Shen Huanxi, Zuo Hui
Kunshan Center for Disease Control and Prevention, Suzhou, 215301, P.R. China.
School of Public Health, Suzhou Medical College of Soochow University, 199 Ren'ai Rd, Suzhou, 215123, P.R. China.
BMC Public Health. 2024 Dec 23;24(1):3574. doi: 10.1186/s12889-024-20980-1.
Vaccination is a simple and effective preventative measure against infections and diseases among populations, especially children. This study aimed to evaluate parental/guardians' satisfaction with vaccination services and examine its associated factors in China.
This study used mixed methods of quantitative and qualitative research methods. Stratified sampling method was used to recruit parents/guardians of children aged 0-6 years from 21 vaccination clinics in Kunshan, Eastern China in 2023. Quantitative data were collected via an online questionnaire. Logistic regression and structural equation model were used to examine factors associated with the satisfaction. Moreover, focus group discussion was performed to gain an in-depth understanding for satisfaction.
The overall satisfaction rate was 92.9% (95% CI: 92.5%, 93.2%) among 1083 parents/guardians. Specifically, 92.1%, 93.2%, 93.2%, and 96.2% of the parents/guardians were satisfied/agreed or very satisfied/agreed with environment of vaccination and convenience, pre-vaccination preparation, upon and post-vaccination service, and attitudes towards vaccination, respectively. Structural equation model analysis showed that the fitting effect was acceptable (χ/df = 2.854, Goodness of Fit Index (GFI) = 0.916, Root mean square error of approximation (RMSEA) = 0.065). The most satisfactory components were pre-vaccination preparation, upon and post-vaccination service. Moreover, educational attainment and place of residence were significantly associated with the satisfaction with vaccination service.
The satisfaction rate of the parents/guardians with vaccination service provided for their children was high. Nevertheless, our findings suggest that vaccination clinics could further improve the quality of service by upgrading the vaccination environment, reducing waiting time, optimizing appointment mechanism, and making convenience and accessibility of the vaccination.
疫苗接种是一种针对人群尤其是儿童预防感染和疾病的简单有效措施。本研究旨在评估中国父母/监护人对疫苗接种服务的满意度，并探讨其相关因素。
本研究采用定量和定性相结合的混合研究方法。2023年，采用分层抽样方法从中国东部昆山的21家疫苗接种门诊招募0至6岁儿童的父母/监护人。通过在线问卷收集定量数据。采用逻辑回归和结构方程模型来研究与满意度相关的因素。此外，进行焦点小组讨论以深入了解满意度。
1083名父母/监护人的总体满意度为92.9%（95%置信区间：92.5%，93.2%）。具体而言，分别有92.1%、93.2%、93.2%和96.2%的父母/监护人对疫苗接种环境与便利性、接种前准备、接种时及接种后服务以及对疫苗接种的态度表示满意/同意或非常满意/同意。结构方程模型分析表明拟合效果可接受（χ/df = 2.854，拟合优度指数（GFI）= 0.916，近似均方根误差（RMSEA）= 0.065）。最令人满意的部分是接种前准备、接种时及接种后服务。此外，教育程度和居住地点与疫苗接种服务满意度显著相关。
父母/监护人对为其子女提供的疫苗接种服务满意度较高。然而，我们的研究结果表明，疫苗接种门诊可通过改善接种环境、减少等待时间、优化预约机制以及提高疫苗接种的便利性和可及性来进一步提高服务质量。
