Evaluation Of Satisfaction Degree Of Children's Health Care Service In Nanjing And Analysis Of Its Influencing Factors

Objective:To understand the current status of children's health care service in Nanjing,and to provide scientific basis for the adjustment and improvement of the current health care system.Methods:Descriptive analysis of Nanjing children's health care and service of?2013-2015 in Jiangsu Province Health Statistics Yearbook?data,combined with the analysis of empirical research.Selected Jianye District?Gulou District?Jiangning District.Liuhe District 4 community service center and Nanjing Maternity and Child Care Center,MCH Hospital of Jiangsu Province as investigation site,a total of 329 children under the age of 7 parents surveyed.The questionnaire involves three aspects:fuzzy comprehensive evaluation method in the evaluation of children health care service satisfaction,Study on Influence Factors of parents on children's health care services,the implementation of community child health care service project.Based on research data using ANOVA and Logistic regression analysis(a =0.05 level test).Finally,the overall evaluation of the satisfaction of children health service in Nanjing city by using fuzzy comprehensive evaluation method.The child health care service organization,service technology,service attitude,service continuity,service costs,service efficiency of the 6 level indicators were scoring.Combined with the results of each index weight of Nanjing city children's health service satisfaction scores.Results:The children's health information attention do ordinal Logistic regression analysis we found that the degree of culture,age characteristics become an important factor influencing children's health information.The single factor and unconditional Logistic stepwise regression analysis was used to analyze the utilization rate of community child health services,The analysis results suggest that the object from the service perspective,family income,education level,the community health service center of children health care service awareness become significant factors affecting the rate of community child health care services utilization(p<0.05).From the view of the subject of service,the level of professional equipment,physicians,medical reimbursement,distance become an important factor restricting the community child health care service use.Finally,the overall score of the satisfaction evaluation of children health care service in Nanjing was 71,Between the evaluation results in the "general" and"satisfaction".In the children's health service satisfaction index evaluation,service organization,service technology,service attitude,service continuity,service price,service satisfaction scores were 67.96,80.22,71.33,74.95,69.01,74.00.Conclusion:Children's service construction in Nanjing city in recent three years has made some progress,children's health is improving.But in the utilization of community child health services,the utilization rate is not high,to a certain extent affected the satisfaction evaluation of the overall health care services for children.In the two level indicators in evaluation,Parents'satisfaction with the service organization and service cost is low,suggesting that the relevant departments should further improve the charging system,enrich the service projects,and implement the grading system.