上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (12): 1771-.doi: 10.3969/j.issn.1674-8115.2011.12.025

• 论著（卫生事业管理） • 上一篇    下一篇

患者对上海地区特需医疗服务的认知和需求分析

张 静1, 贺黎明2, 晏 嵘2, 金春林3, 王 英1, 史丹翔1, 李国红1   

  1. 1.上海交通大学 公共卫生学院, 上海 200025； 2.上海市发展与改革委员会收费管理处, 上海 200003； 3.上海市卫生局财务收费处, 上海 200041
  • 出版日期:2011-12-28 发布日期:2012-01-04
  • 通讯作者: 李国红, 电子信箱: guohongli@sjtu.edu.cn。
  • 作者简介:张 静（1977—）, 女, 讲师, 硕士；电子信箱: zxcclie@126.com。

Analysis of awareness and demand on special medical services of patients in Shanghai

ZHANG Jing1, HE Li-ming2, YAN Rong2, JING Chun-lin3, WANG Ying1, SHI Dan-xiang1, LI Guo-hong1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China；2.Shanghai Municipal Development &|Reform Commission, Shanghai 200003, China；3.Shanghai Municipal Health Bureau, Shanghai 200041, China
  • Online:2011-12-28 Published:2012-01-04

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摘要：

目的 分析患者对上海地区特需医疗服务的认知和需求，为特需医疗服务的发展提供建议。方法 随机选择在上海市5家公立医疗机构门诊就诊的501名患者进行问卷调查，根据患者是否有特需就诊经历分为特需患者组（n=234）和普通患者组（n=267）。调查内容包括患者的基本情况、特需就诊经历和态度、特需医疗需求、支付情况以及对特需医疗服务的意见5个方面。结果 有过特需医疗服务的患者年龄在30岁以上的占调查人数的76.5%；有高达96.6%的特需患者认为公立医疗机构应该提供特需医疗服务，显著高于普通患者组的53.9%（P<0.000 1）；有42.7%的特需患者认为特需医疗服务的价格不合理。在被调查的所有患者中，有37.0%的患者最看重特需医疗的高品质医疗服务特点（服务者为临床经验丰富的专家），有52.0%的患者会选择专家门诊。结论 患者对公立医疗机构提供特需医疗服务持肯定态度，政策还需进一步明确特需医疗服务范围及其内涵。

关键词: 特需医疗服务, 患者, 认知, 需求

Abstract:

Objective To investigate the awareness and demand on special medical services of patients in Shanghai, and put forward suggestions on the development of special medical services. Methods Five hundred and one patients randomly selected from 5 public hospitals in Shanghai were subjected to questionnaire survey, and patients were divided into special medical care group (n=234) and ordinary medical care group (n=267) according to the experience of special medical services. The survey included five aspects of basic conditions, experience and attitude towards special medical services, demand on special medical services, payment of special medical services and advice for special medical services. Results Patients older than 30 years accounted for 76.5% in special medical care group, and 96.6% of patients in special medical care group believed that special medical services should be provided in public hospitals, which was significantly higher than that in ordinary medical care group (53.9%) （P<0.000 1). It was considered the price of special medical services was unreasonable by 42.7% of patients in special medical care group. Among all the patients, 37.0% thought high-quality medical services (services provided by medical experts) was essential for special medical services, and expert outpatient services were preferred by 52.0% of patients. Conclusion Patients hold positive attitudes towards special medical services in public hospitals, and the scope and content of special medical services are to be clarified.

Key words: special medical services, patient, awareness, demand