影响城市社区成年人卫生保健设施选择的因素

Raksha Shrestha, S. Adhikari
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引用次数: 0

摘要

引言:安全、可获得、高质量、以人为本和一体化的卫生服务提供系统对于实现全民健康覆盖至关重要。世界卫生组织正在支持提高向所有人群而不仅仅是患者提供医疗服务系统的效率和有效性。本研究旨在确定影响城市社区成年人选择医疗保健设施的因素及其与所选社会人口变量的关系。方法:采用非概率目的抽样技术,对120名社区居民进行描述性横断面调查。使用半结构化访谈表收集数据,并使用描述性统计方法(如频率、百分比、平均值、标准差)和推理统计学(如卡方检验)进行分析。结果:研究结果显示,大多数(60.8%)受访者使用私人医疗机构,医疗机构的选择与医疗服务相关因素存在显著关联,而与所选社会人口统计变量没有显著关联。结论:根据研究结果,得出的结论是,各种与医疗保健服务相关的因素,如可用性、可负担性、可接受性和可及性因素,往往会影响医疗保健设施的选择
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Factors Affecting Choice Of Health Care Facilities Among The Adults of an Urban Community
Introduction: Health service delivery systems that are safe, accessible, high quality, people-centred, and integrated are critical for moving towards universal health coverage. World Health Organisation is supporting to improve the efficiency and effectiveness of health service delivery systems to all the population not only the patients. This study aims to identify the factors affecting the choice of health care facilities among the adults of an urban community and its association with the selected socio-demographic variables.  Methods: A descriptive cross-sectional study was conducted among the community residence with 120 respondents using non-probability purposive sampling technique. Data was collected using semi-structured interview schedule that was analysed by using descriptive statistical methods such as frequency, percentage, mean, standard deviation and inferential statistics such as chi-square test. Result: The findings of the study revealed that majority (60.8%) of the respondents used private health care facilities and there was significant association of the choice of health care facility with the health care services related factors whereas no significant association was found with the selected socio-demographic variables. Conclusions: Based on the study findings, it concluded that various health care services related factors like availability, affordability, acceptability and accessibility factors tends to affect the choice of health care facility
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