Singh H, Mustapha N, Haqq E D
Central Regional Health Authority, Trinidad, West Indies.
Public Health. 1996 Jul;110(4):251-5. doi: 10.1016/s0033-3506(96)80112-0.
The aim of this paper is to identify background characteristics of health centre users in Trinidad and Tobago and their perceptions of the services provided. Multi-staged sampling was used to select 1,500 health centre users throughout the country. Data were obtained using structured interviews conducted on regular clinic days. Results show that there is an overwhelmingly large percentage of unemployed persons (80.4%) and women (75.9%) among the users of health centres. The elderly is well represented, with 25.4 percent of the sample being over 60 years of age. Also, occupational status of family wage earners and educational attainment levels of respondents reflect a disproportionately higher number from lower socio-economic groupings among health centre users. On the other hand, proportions of different ethnic and religious groups among the respondents bear a striking similarity to the general population of Trinidad and Tobago. Respondents appear to be generally satisfied with the services of the health centres. When the categories for "satisfied' and "very satisfied' were combined, results show that 73.0% of respondents were satisfied with the comfort of the health centre, 81.7% with the ease and convenience of getting to the health centre and 67.4% with the medical care received at the health centre. According to respondents' opinions, the services in greatest need of improvement are the pharmacy and doctor services, especially through reducing the long waiting period. When the doctors, nurses and pharmacists were compared with respect to "courtesy and consideration', "Skills and Competence' and "advice provided', results show that the generally high levels of satisfaction are remarkably similar in all three cases.
本文旨在确定特立尼达和多巴哥健康中心使用者的背景特征及其对所提供服务的看法。采用多阶段抽样方法，在全国范围内选取了1500名健康中心使用者。数据是在常规门诊日通过结构化访谈获得的。结果显示，健康中心使用者中失业者（80.4%）和女性（75.9%）的比例极高。老年人占比可观，样本中有25.4%的人年龄超过60岁。此外，家庭有收入者的职业状况和受访者的教育程度反映出，健康中心使用者中来自社会经济较低阶层的人数比例过高。另一方面，受访者中不同种族和宗教群体的比例与特立尼达和多巴哥的总人口有惊人的相似之处。受访者似乎总体上对健康中心的服务感到满意。当“满意”和“非常满意”类别合并时，结果显示，73.0%的受访者对健康中心的舒适度感到满意，81.7%的人对前往健康中心的便捷程度感到满意，67.4%的人对在健康中心接受的医疗服务感到满意。根据受访者的意见，最需要改进的服务是药房和医生服务，特别是要减少漫长的等待时间。在对医生、护士和药剂师在“礼貌与体贴”“技能与能力”以及“提供的建议”方面进行比较时，结果显示，在这三种情况下，总体较高的满意度非常相似。
