郑州市卫生系统反应性评价及影响因素分析

王文华; 王芳; 谢婧; 施学忠

doi:10.11847/zgggws2006-22-07-06

郑州市卫生系统反应性评价及影响因素分析

Analysis on influence factors of health system responsiveness in Zhengzhou city

摘要

摘要:
目的初步评价郑州市卫生系统反应性, 探讨性别、年龄、婚姻、文化程度、职业、家庭收入等人口学特征与卫生系统反应性评分的相互关系。
方法用分层随机抽样的方法, 抽取郑州市5家综合医院, 采用世界卫生组织制订的《居民健康和卫生系统反应性调查》问卷进行调查。采用秩和检验方法对反应性进行初步评价, 用典型相关分析方法探讨人口学特征和反应性评分之间的关系。
结果郑州市卫生系统反应性各方面中对基本环境的评价相对较低; 人口学特征与卫生系统反应性评分之间呈典型相关, 典型相关系数为0.286(P < 0.05)。
结论应进一步加强就医环境的改善, 反应性各方面的提高是持续变化的过程。

Abstract:
Objective To evaluate the health system responsiveness of Zhengzhou city and to explore the association between the different anthropological backg round and health system responsiveness.
Methods Stratified sampling was taken to select five polyclinics.The questionnaire was "residents health and health system responsiveness" designed by WHO.The nonparametric analysis such as Mann-Whitney Test was applied to evaluate health system responsiveness of Zhengzhou city, and the method of canonical correlation was applied to explore the association of anthropological backaround and health system responsiveness.
Results In the seven facets of the health system responsiveness, the elementary environment was appraised comparatively lower, the correlation between anthropological background of the residents and health system responsiveness was found out, and the coefficient of the correlation was 0.286(P < 0.05).
Conclusion The improvement of the environment of the hospital should be paid more attention, and the development of health system responsiveness was a continuous and changing process.

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