本文選題：社區(qū)美沙酮維持治療 + 輔助服務(wù)��； 參考：《中國(guó)公共衛(wèi)生》2014年09期

【摘要】：目的了解廣東省15家社區(qū)美沙酮維持治療門診的輔助服務(wù)提供情況及受治者滿意度影響因素。方法對(duì)廣東省15家社區(qū)美沙酮維持治療門診的747例受治者進(jìn)行橫斷面調(diào)查,了解其一般人口學(xué)特征、實(shí)際接受到的門診服務(wù)情況、期望得到的門診服務(wù),以及對(duì)門診的滿意度。結(jié)果 747例受治者中,男性671例,女性76例,平均年齡為(38.34±5.84)歲;大部分受治者接受過(guò)門診提供的入組時(shí)美沙酮知識(shí)講解(95.72%)、劑量調(diào)整(96.12%)、健康教育(89.02%)及定期討論病情(85.27%)等服務(wù),曾接受過(guò)門診醫(yī)生為其制定治療計(jì)劃(57.16%)、提供艾滋病治療服務(wù)(52.21%)、丙肝轉(zhuǎn)診服務(wù)(61.85%)及丙肝藥物治療服務(wù)(50.47%)的比例則較低;半數(shù)以上受治者期望門診像醫(yī)院一樣有夜間門診(54.22%),僅少部分受治者期望門診維持現(xiàn)狀(25.03%)、提供疾病治療或轉(zhuǎn)介服務(wù)(18.21%)及期望治療收費(fèi)調(diào)整(16.20%);所有受治者對(duì)門診滿意度的平均得分為(69.74±12.08)分。多重線性回歸結(jié)果顯示,劑量調(diào)整(β'=0.11)、制定治療計(jì)劃(β'=0.08)、定期討論病情(β'=0.09)、入組時(shí)美沙酮知識(shí)講解(β'=0.08)、健康教育(β'=0.09)、丙肝藥物治療(β'=0.17)、艾滋病藥物治療(β'=-0.15)、期望門診維持現(xiàn)狀(β'=0.09)、治療收費(fèi)的調(diào)整(β'=-0.13)、提供疾病治療或轉(zhuǎn)介服務(wù)(β'=-0.11)10個(gè)因素影響受治者對(duì)門診輔助服務(wù)的滿意度。結(jié)論目前MMT門診提供的輔助服務(wù)尚未能滿足受治者需求,門診服務(wù)質(zhì)量仍有待進(jìn)一步提高,以提高受治者的滿意度。
[Abstract]:Objective to investigate the status of methadone maintenance outpatient service in 15 communities of Guangdong province and the influencing factors of patients' satisfaction. Methods A cross-sectional survey was conducted in 747 patients with methadone maintenance outpatient service in 15 communities in Guangdong Province to find out the general demographic characteristics, the actual outpatient service, the expected outpatient service and the satisfaction with the outpatient service. Results among 747 patients, 671 were male and 76 were female, the average age was (38.34 鹵5.84) years, most of the patients had received the knowledge of methadone from outpatient service (95.72%), dose adjustment (96.12%), health education (89.02%) and regular discussion (85.27%). The proportion of doctors who had made treatment plans for them (57.16%), AIDS treatment services (52.21%), hepatitis C referral services (61.85%) and drug treatment services for hepatitis C (50.47%) were lower. More than half of the patients expected to have night outpatient services like hospitals (54.22%), only a few expected to maintain the status quo (25.03%), to provide disease treatment or referral services (18.21%) and to adjust the charges for expected treatment (16.20%), and all patients were satisfied with the outpatient service. The average score of degree was (69.74 鹵12.08). Multiple linear regression results show that, Dose adjustment (尾 -0.11), treatment plan (尾 -0.08), regular discussion of the condition (尾 -0.09), knowledge of methadone (尾 -0.08), health education (尾 -0.09), drug therapy for hepatitis C (尾 -0.17), drug therapy for AIDS (尾 -0.15), expectation of out-patient care (尾 -0.09), adjustment of treatment fees (尾 -0.13), provision of disease Ten factors (尾 -0.11) affected the patients' satisfaction with the outpatient service. Conclusion at present, the auxiliary services provided by MMT outpatient service can not meet the needs of the patients, and the quality of the outpatient service needs to be further improved in order to improve the satisfaction of the patients.
【作者單位】： 中山大學(xué)公共衛(wèi)生學(xué)院醫(yī)學(xué)統(tǒng)計(jì)與流行病學(xué)系中山大學(xué)流動(dòng)人口衛(wèi)生政策研究中心;
【基金】：國(guó)家自然科學(xué)基金(71173245)
【分類號(hào)】：R749.6

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