Awareness Rate And Satisfaction Of Basic Public Health Services Among Key Population In Henan Province In 2016

ObjectiveTo grasp the awareness rate and satisfaction rate of the residents of Henan Province on the implementation of basic public health services,to find out the influencing factors of the awareness rate and satisfaction,and to analyze and discuss the problems found in the investigation.Some suggestions on the implementation process and policy of basic public health service are put forward to improve the quality of the basic public health service and to enhance the awareness and satisfaction of the residents of Henan Province on the basic public health service.In order to improve the efficiency of the use of basic public health services project funds to provide the basis for the government to improve the management of basic public health services project to provide a reference.MethodsA two-stage random sampling method was used to extract samples from the sample areas,and one municipal district and one county(city)were selected from each province and municipality.Two community health service centers were selected from each municipal district and 2 township health centers were selected from each county(city).Jiyuan City for the county level,extraction of 1 district and 1 county.Provincial direct control of the county sampling method of the same county(city).The method of system sampling was used to determine the starting point of system sampling by using random number table method.By looking at the information system of each community health service center and township health center or the bottom book of management,the objects of investigation were drawn every ten units.The survey samples were collected from parents of 6 year old children of pregnant and parturient,diabetic patients,and aged 65 and above.By means of literature analysis,the present research situation,methods,relevant research results,evaluation methods and evaluation indexes of basic public health awareness rate and satisfaction degree at home and abroad were investigated.Field investigation was conducted to investigate the awareness,satisfaction and influencing factors of puerpera,parents of 6 year old children,elderly and diabetes patients.The obtained questionnaire was inputted with Epidata3.0 software and double input was used.The input data were analyzed by SPSS 21 1.0 software and Excel 2016.Results1.The general knowledge level of the subjects was 80.30,among which the basic public health service was 77.46 in the urban key population and 82.12 in the rural key population.The knowledge level of the rural key population was higher than that of the urban key population,and the difference was statistically significant.2.The top three items of the key population in the city were vaccinations for children aged 0 to 6 years old and health check-up items for the elderly people.The blood pressure and blood sugar of diabetes patients were measured regularly.The top three items of key population in rural areas were 65-year-old and 6-year-old children's health check-up items,and diabetes patients' health check-up items.The lowest awareness rates in urban and rural areas were postpartum visits for pregnant women and health education for diabetic patients.There was no significant difference in the rate of awareness between urban and rural areas among different groups of people.3.The most effective way for the key population to know about the basic public health service is the doctor's notice and all kinds of publicity activities,and the lowest way to know is the newspaper and all kinds of advertisements.There were significant differences among the key urban and rural population in newspapers,TV / radio,primary medical institutions,community propaganda,publicity activities,leaflets or brochures,various kinds of advertisements and doctors' notification of eight ways.In the collection of SMS / WeChat,others said there was no significant difference in other approaches.4.For the key urban population to understand the basic public health services related information channels ranked first three are doctor notification,community propaganda,publicity activities;The top three places for the key rural population to know about the basic public health service are the doctor's notice,the propaganda column of the primary medical and health institution,the leaflet or the brochure.5.The highest awareness rate of the key urban population in obtaining the basic public health services of the country is the community health service center(station),the next is the hospital(pregnant and lying-in),Children's parents)and maternal and child health care institutions(the least proportion is township health centers),the rural key population project acquisition institutions are the highest township hospitals,followed by village clinics(village doctors,accounted for the least proportion is the disease control center).There were significant differences in the knowledge of community health service centers(stations,township health centers,village clinics and hospitals)among the key urban and rural population in the institutions that access basic public health projects.There was no significant difference between MCH and CDC.6.The overall satisfaction of the key population in Henan Province to the basic public health service is 95.855.The satisfaction degree of the key urban population is 96.68,the satisfaction degree of the rural key population is 95.333.The key urban population and the rural key population are at the level of convenience and technology.There were statistically significant differences in satisfaction between the four dimensions of service attitude and good health.7.The satisfaction of the parents of children aged 6 years and the elderly aged 65 and above of pregnant women with diabetes mellitus for the basic public health service items of the country were 95.677,96.05 and 95.872,respectively.There were significant differences in the technical level and latitude of satisfaction evaluation among the four groups of key population.There was no significant difference in the convenience of satisfaction evaluation,service attitude and good health.Conclusions1.The satisfaction of the key population in Henan Province was high,which indicated that the national basic public health service project in Henan Province had a better effect in recent years.2.It is necessary to improve the awareness of the key population in Henan Province on the items of postpartum follow-up and health education for the population with diabetes in the national basic public health service program.3.The purpose and significance of basic public health services should be strengthened,the significance of establishing health records should be clearly defined,the follow-up should be strengthened,and the effective way of knowledge should be expanded.