Empirical Research On Perceived Performance Of Rural Public Health Services

Objective: This project takes Shanpen Town of Zunyi City as a case.Through the establishment of a rural public health service evaluation index system,it empirically studies the perceived performance of public health services in Shanpen Town,analyzes its problems and reasons,and improves the quality of public health services Need to take targeted measures to provide reference.Methods: First of all,this article takes Shanpen Town of Zunyi City as the research object,designs the initial scale of the rural public health service quality evaluation index system based on the SERVPERF model through literature induction and expert consultation,combining the characteristics of public health services.Through a questionnaire survey,SPSS software was used to conduct exploratory factor analysis to screen out indicators to establish a system for evaluating the quality of rural public health services.Second,this study used a proportional random sampling method to sample each of the 13 administrative villages in Shanpen Town,Zunyi City.A village randomly distributed 30 questionnaires to collect data and conduct empirical research on the perceived performance of rural public health services.370 surveys were actually distributed,370 were recovered,and 324 valid questionnaires were recovered.The effective recovery rate was 87.6%.Finally,SPSS 19.0 was used to perform a descriptive analysis of the total perceived value,dimensions,and indicators of the data.The independent sample T test was used for gender.For analysis,age and education were analyzed by one-way analysis of variance and pairwise comparison,and multiple stepwise regression was used to analyze the influencing factors of the total perceived value of public health services.Results:(1)Through the design of initial scale,questionnaire survey and exploratory factor analysis,establish a rural public health service quality evaluation index system consisting of seven primary indicators and 24 secondary indicators;(2)Rural residents’ perception of public health services The level of quality is medium to high,and the total perceived value is 69.77% after the conversion of the score index.The residents ’recognition of the seven dimensions of public health service quality from high to low is:informational,tangible,guaranteed,and reliable.,Responsiveness,empathy,and professionalism;the top five items with the highest scores are A3(the medical staff is well-groomed,decent,and clean),F4(the medical staff is polite),and G2(provided to citizens through multiple channels)Service information),A2(comfortable in a hospital or health center,clear and clear signs),A4(reasonable and convenient service location);residents’ satisfaction with access to medical image etiquette,service environment,and public health service publicity information Higher.The lower five scores are D1(service staff understands the needs and expectations of the people),D2(hospitals can provide personalized services for the people),C2(medical staff can provide professional services),A1(with modern inspection equipment),D3(medical personnel provide individual care to the masses).(3)Using independent sample T-test analysis,gender has no significant impact on the quality of public health service evaluation(P >0.05).The average scores of men in all dimensions are lower than women;using single-factor analysis of variance,the education level is professional.,Empathy,reliability,assurance and other dimensions were not significantly different(P >0.05),and there were significant differences in tangibility,responsiveness,information,and overall perceived values(P <0.05);age versus perceived public health There was no significant difference in each dimension of service quality(P >0.05).(4)Through a pairwise comparison,rural residents with a bachelor’s degree or college degree or above have higher scores than rural residents with a high school degree or below and a high school or technical degree;rural residents aged21-30 years old and 51 years old and The above rural residents scored relatively low.(5)Through multiple stepwise regression analysis,the degree of education has a great impact on the overall perceived quality of public health services.Conclusion:The rural public health service evaluation index system was designed to measure the public perception of the quality of rural public health services in Shanpen Town,Zunyi City,and found that: 1.the inspection equipment is not sophisticated enough;2.the professional service quality is not obvious;3.personalized services Quality needs to be improved;4.Insufficient high-performance services;5.Insufficient enthusiasm for service work;6.Insufficient service implementation;7.Insufficient participation of residents.In view of the above problems,in order to improve the public perception of the quality of rural public health services,the author proposes clear government public health service responsibilities;grasp health education to strengthen residents’ health awareness;make every effort to improve the quality of medical staff;stabilize the medical staff team and continuously improve Professional level;Humanistic care for residents should be emphasized;Six countermeasures and suggestions such as encouraging residents to participate and feel the health service work.