Evaluation and analysis of outpatient services for patients with gastrointestinal diseases in township health centers in Anhui province
Objective To investigate and analyze the status quo of diagnosis and treatment quality of common disea-ses using the example of gastrointestinal diseases in township health centers in Anhui province.Methods A total of 40 township health centers in north Anhui province were selected as the study sites using multi-stage randomly sampling.All patients with gastrointestinal diseases who came to the site health centers from July 1,2022 to August 1,2022 were included in the survey,according to relevant guidelines,observation items on the diagnosis and treatment process of gastrointestinal diseases were formulated.Non-participative observation was used to collect data about diagnosis and treat-ment procedures,and face-to-face interviews were used to collect information of patients,outpatients and health centers.The quality of diagnosis and treatment of gastrointestinal diseases was evaluated by descriptive analysis,and the influen-cing factors were explored by non-parametric test and logistic regression analysis.Results Among the 309 patients recruited,female patients slightly over counted male patients.They aged 54.35 years on average.Their education level was low.The diagnosis and treatment service quality scored only 2.61±1.22.Non-parametric test results showed that the qualification of doctors,the service population of hospitals,the number of beds and the number of doctors affected the score of diagnosis and treatment service quality(P<0.05).Multivariate regression analysis showed that doctors aged<44 years scored higher than those aged>47 years(OR=0.14,95%CI=0.03～0.72),and the total score of medical services of hospitals with large population was higher than that of those with small population(OR=5.63,95%CI=1.46～21.79).The associations between the total quality score and the patients' sex,age and education were tested without statistical significance(P<0.05).Conclusion The score of outpatient service for gastrointestinal patients in township health centers was low.Future efforts in improving the service quality should focus mainly on the supervision and devel-opment of doctors and health centers,and strengthen the publicity and education of patients to promote their active partic-ipation in diagnosis and treatment decision-making.
Gastrointestinal diseasesTownship health centerQuality of diagnosis and treatment
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