رضايت‌‌مندي مراقبين سلامت شاغل در برنامه پزشك خانواده شهري ايران

HEALTH CARE PROVIDERS, SATISFACTION IN THE URBAN FAMILY PHYSICIAN PROGRAM OF IRAN

پيش‌ زمينه و هدف: مراقبين سلامت به‌عنوان دستيار، پزشك خانواده شهري را در ارائه خدمات سلامت ياري مي‌‌رسانند. رضايت مراقبين سلامت مي‌‌تواند عامل مهمي در ماندگاري و ارائه جامع‌‌تر و كيفي‌‌تر خدمات سلامت محسوب مي‌‌شود. اين مطالعه به‌ منظور بررسي سطح رضايت مراقبين سلامت استان‌‌هاي فارس و مازندران از برنامه پزشك خانواده شهري انجام گرفت. مواد و روش‌‌ها: اين مطالعه مقطعي در زمستان 1395 انجام گرفت. 15 درصد مراقبين سلامت استان‌‌هاي فارس و مازندران به‌صورت تصادفي منظم انتخاب و مطالعه شدند. ابزار جمع‌‌آوري داده‌‌ها پرسشنامه خودساخته شامل متغيرهاي فردي با 16 سؤال باز و بسته و رضايت‌‌مندي از برنامه پزشك خانواده شهري با 13 سؤال بسته در مقياس ليكرت بود كه روايي و پايايي آن مورد تائيد قرار گرفت. يافته‌‌ها: از 228 مراقب سلامت مطالعه شده، 133 نفر (58/3 درصد) شاغل استان فارس و 219 نفر (96/1 درصد) زن بودند. ميانگين سطح رضايت از پزشكان خانواده شهري از 5 نمره، 0/9±3/90 و از رفتار جمعيت تحت پوشش 1/0±3/22 بود. رضايت كلي 54/8 درصد مراقبين سلامت بالاتر از حد متوسط (بالاتر از 3/5) بود. بين رضايت مراقبين سلامت و استان محل خدمت در هيچ‌‌كدام از موضوعات موردبررسي اختلاف معني‌‌دار وجود نداشت (0/05

Background & Aims: Health care providers assist the family physicians in providing health services. Satisfaction of health care providers will play a significant role in sustaining and providing more comprehensive and qualitative services. This study was conducted to determine the level of satisfaction of health care providers in Fars and Mazandaran provinces from the urban family physician program. Materials & Methods: This cross-sectional study was carried out in winter 2016. 15% of health care providers in Fars and Mazandaran provinces were randomly selected and studied. The data collection tool was a researcher-made questionnaire including personal variables with 16 open and closed questions; satisfaction from the family physician program was analyzed by 13 closed questions in Likert scale; the validity and reliability of questionnaire were confirmed. Results: Among 228 health care workers, 133 cases (58.3%) were employed in Fars province and 219 cases (96.1%) were female. The average satisfaction level of the urban family physicians was 3.90 ± 0.9 from 5 score and 3.22 ± 1.0 of population under coverage. Overall satisfaction of 54.8% of health care providers was higher than the average (above 3.5 from the total 5 score). There was no significant difference between the satisfaction of health care providers and the province of service place in any of the variables (p <0.05). There was a significant relationship between the overall satisfaction of health care providers and the willingness to survive (p = 0.000, r= 0/197). Conclusion: The results of this study showed that satisfaction of health care providers with family physicians' performance was higher than the average and moderate for the population under coverage. It is suggested to design and implement interventional programs for different levels in order to improve satisfaction.