2012 winter holiday social practice medical and health investigation report
At this year's two sessions, the Prime Minister put forward "in-depth rectification and standardization of medical service charges and drug purchase and sales order, and effectively solve the problem of people's difficult medical treatment and expensive medical treatment", which has driven a new hot spot in medical health topics - "How to make virtual high drug prices Shrinking water? How to make sickness no longer a poor weight? How to make medical treatment no longer a life problem?"
In order to understand the medical and health problems of Beijing residents, the Beijing Institute of Social Psychology conducted a household survey from March 21 to 27, XX. The selection of survey samples is based on stratified, multi-stage random sampling. The sample comes from 8 streets in the 8th district of the city, with a total of 15 neighborhood committees and 600 valid samples. The respondents were between 18 and 76 years old, and the sex ratio was controlled at around 1:1.
First, the primary factor for the public to consider medical treatment is the high level of medical care. According to the social opinion survey data of June XX, the public opinion of 84.5% of the citizens will maintain a healthy body as the primary means of ensuring future life, and that maintaining a healthy body is a guarantee for the future. The premise of living, improving the quality of life and enjoying the happy life of the future. This time we found that 33.4% of the citizens felt a lot or a lot of pressure on health issues.
Middle-aged people aged 41-55 are generally stressed about health problems. Among them, 21.1% of the 51-55-year-old citizens feel pressure on health issues, and 40.4% feel pressure, far above the overall level.
1. Most citizens pay more attention to the hospital's medical level and medical safety. The top five factors considered by the public to choose medical treatment are: high medical level, medical safety, low medical expenses, good service attitude and close to home. With the reform of the medical system, less than half of the citizens regard the “public hospitals for public medical care” as the main factor to consider when seeking medical treatment.
2. The proportion of low-income citizens considering medical treatment “low medical expenses” is higher than “medical safety”
For the two factors of medical expenses and medical safety, middle-income citizens consider medical safety when they seek medical care, which is 15% lower than medical expenses. For those with lower incomes and lower incomes, more people put "medical care." Low cost" is the main factor considered in choosing a doctor.
The representative of the National People's Congress and the dean of the Third Clinical Hospital of Harbin Medical University, Xu Xiuyu, said: "According to the requirements of building a harmonious society, the government should build a number of welfare "civilian hospitals" as soon as possible to provide the most basic for the poor at low prices. Medical services, such as common diseases such as colds and fever, common diseases can be, hospitals charge by disease, the price of drugs and inspection fees, hospitalization fees are lower than ordinary hospitals, the government implements effective subsidies to hospitals, and then use policy price levers Let the patient choose the hospital for treatment.
Second, more than half of the public are worried that the level of medical care is low, and spending money does not cure the disease.
1. 42.5% of the respondents had a negative evaluation of the accuracy of the doctor's diagnosis. More than 60% of the citizens thought that the hospital doctor had done a good job in "carefully asking about medical history" and "paying attention to protecting patient privacy." 63.9% of the public think that doctors are very careful about medical history; 63.0% of the public think that doctors pay attention to protecting the privacy of patients. More than half of the citizens think that doctors can make appointments for appointments, carefully check, patiently answer questions from patients, do not open medicines that are not symptomatic, and do not do anything unrelated when diagnosed. It seems that the public does not have to worry too much about the attitude of medical staff.
However, according to the survey data, 48% of the citizens said that the doctors who received the doctor did not explain the method of taking the medicine in detail; as many as 42.5% of the citizens thought that the doctor's diagnosis was not very accurate; 36.9% of the citizens denied the practicality of the doctor's treatment plan - no wonder 52.2% of the public worried that the medical staff had low levels of medical care and spent money to cure the disease.
43.0% of the public were worried about cross-infection during the hospital visit. The old disease did not remove new diseases; 41.8% of the public worried that the cost of medical treatment was large.
Another 34.3% of the citizens were afraid of trouble attending the hospital, and it was too long to wait in line. Liang Xiaosheng, a member of the National Committee of the Chinese People's Political Consultative Conference, said: "In Beijing, many hospitals are particularly like supermarkets, and they are especially like supermarkets in the days of big sales. The situation in the hospital is daunting."
3. 32.5% of the public are worried about cross-infection with blood products
43.0% of the public were worried about cross-infection during hospital visits. Among the various items related to cross-infection control, the public is most worried about cross-infection due to the use of blood products. In this regard, 12.4% of the public expressed concern, and 20.1% of the public expressed great concern.
We examined the ratings of hospitals and cross-infection control on a 10-point scale based on their level of reassurance. They found that citizens had the lowest level of confidence in using blood products, with an average of only 4.70 points.
Table 1: Ratings of the public's level of confidence regarding hospital and cross-infection control:
Optional mean standard deviation
Use of blood products
4.70
2.947
Disinfection of medical devices
5.61
2.718
Air disinfection
5.63
2.600
Disposable medical devices are not reused
6.06
2.961
3. 77.6% of the citizens think that washing hands frequently can effectively prevent infectious diseases. If the hospital is divided into medicine in the hospital and medicine in the community, then whether it is from the minimum output of economics, the maximum output standard, or the humanitarian principle Prevention of disease should take precedence over treatment of disease.
According to the website of the Ministry of Health, in XX, the total number of Class A and Class B infectious diseases in China was 3,180,327, and 7,151 deaths, the incidence rate was 235.85/100,000, the mortality rate was 0.53/100,000, and the case fatality rate was 0.22%. In addition to the morbidity and death of polio in the whole year, the remaining infectious diseases have been reported. The top five diseases were tuberculosis, hepatitis B, dysentery, gonorrhea, and hepatitis A, accounting for 85.01% of the total number of cases. The top five deaths were: rabies, tuberculosis, hepatitis B, AIDS, neonatal tetanus, accounting for 82.65% of the total number of deaths.
Beijing residents believe that the top five infectious diseases that pose the greatest threat to themselves are: hepatitis B, influenza, infectious atypical pneumonia, tuberculosis and AIDS.
77.6% of the citizens believe that washing hands frequently can effectively prevent infectious diseases. However, our survey found that 87% of the citizens regularly or occasionally eat out, the proportion of people who insist on washing hands before meals is 82.3%; 94.5% of the citizens have to go to public toilets, and only 68.2% insist on washing hands after convenience.
People usually think that restaurants are cleaner than hand washing facilities in public toilets, and only a few people admit that there is no habit of washing hands after toilets. Then a large number of people do not wash their hands before and after meals. It seems that the setting of water and faucet switches is unscientific. The reason is related. This requires the relevant departments to raise public health awareness, repair and renovate the relevant facilities of the public sinks, and give the public a sense of security and make the citizens live more comfortable.
The public believes that individuals can effectively prevent infectious diseases:
The "sample survey of medical and health problems" copyright belongs to the author; please indicate the source!
Mix other people's tableware, learn more about preventing infectious diseases, and don't spit.
Fourth, the high price of medicines and the simple emphasis on economic benefits are two major problems in the current medical and health aspects of Beijing.
63.8% of the citizens believe that the main problem in Beijing's current medical and health care is that the drug price is too high - only 1 yuan of ex-factory price of drugs is reported to 10 yuan, 20 yuan, to leave more rebate space to attract hospitals; Use "package refurbishment" to increase the price in disguise or add a little more important thing to the commonly used drugs, declare it as "new drug", and turn it up several times the price - these means of the manufacturer have caused the drug price to be artificially high.
Shi Zuolin, deputy of the National People's Congress and deputy director of the Fujian Provincial Hospital, believes that the low level of repeated production in China's pharmaceutical industry is serious, leading to the vicious competition in the pharmaceutical market with discounts as the primary cause of the high drug prices in China.
59.3% of the citizens think that the hospital thinks about economic benefits and ignores social benefits. It is also a big problem in Beijing's medical and health care.
The benefits of health management should focus on both social and economic benefits, and ultimately seek the unification of social and economic benefits. It is generally believed that social benefits are medical quality, service level, and therapeutic effects; economic benefits are the values embodied in the social benefits of people, finances, and materials in health units. Health undertakings are public welfare undertakings. For the purpose of profit, we must always put social benefits first and economic benefits second. To improve social benefits, we must first expand the service surface, carry out multi-level and all-round medical and health care services, or highlight the medical characteristics of a certain aspect, maximize the role of people, finances and materials, and satisfy the health care of the people as much as possible. Demand. Secondly, we must persist in focusing on patients and special populations, strive to improve the quality of medical care, urgency for patients, think about patients, and establish a good medical ethics.
44.1% of the public think that doctors do not give comfort to patients with psychological burden. 32.9% of the citizens listed the lack of charity and medical care for patients as one of the major problems in Beijing's medical and health care.
In order to understand the medical and health problems of Beijing residents, the Beijing Institute of Social Psychology conducted a household survey from March 21 to 27, XX. The selection of survey samples is based on stratified, multi-stage random sampling. The sample comes from 8 streets in the 8th district of the city, with a total of 15 neighborhood committees and 600 valid samples. The respondents were between 18 and 76 years old, and the sex ratio was controlled at around 1:1.
First, the primary factor for the public to consider medical treatment is the high level of medical care. According to the social opinion survey data of June XX, the public opinion of 84.5% of the citizens will maintain a healthy body as the primary means of ensuring future life, and that maintaining a healthy body is a guarantee for the future. The premise of living, improving the quality of life and enjoying the happy life of the future. This time we found that 33.4% of the citizens felt a lot or a lot of pressure on health issues.
Middle-aged people aged 41-55 are generally stressed about health problems. Among them, 21.1% of the 51-55-year-old citizens feel pressure on health issues, and 40.4% feel pressure, far above the overall level.
1. Most citizens pay more attention to the hospital's medical level and medical safety. The top five factors considered by the public to choose medical treatment are: high medical level, medical safety, low medical expenses, good service attitude and close to home. With the reform of the medical system, less than half of the citizens regard the “public hospitals for public medical care” as the main factor to consider when seeking medical treatment.
2. The proportion of low-income citizens considering medical treatment “low medical expenses” is higher than “medical safety”
For the two factors of medical expenses and medical safety, middle-income citizens consider medical safety when they seek medical care, which is 15% lower than medical expenses. For those with lower incomes and lower incomes, more people put "medical care." Low cost" is the main factor considered in choosing a doctor.
The representative of the National People's Congress and the dean of the Third Clinical Hospital of Harbin Medical University, Xu Xiuyu, said: "According to the requirements of building a harmonious society, the government should build a number of welfare "civilian hospitals" as soon as possible to provide the most basic for the poor at low prices. Medical services, such as common diseases such as colds and fever, common diseases can be, hospitals charge by disease, the price of drugs and inspection fees, hospitalization fees are lower than ordinary hospitals, the government implements effective subsidies to hospitals, and then use policy price levers Let the patient choose the hospital for treatment.
Second, more than half of the public are worried that the level of medical care is low, and spending money does not cure the disease.
1. 42.5% of the respondents had a negative evaluation of the accuracy of the doctor's diagnosis. More than 60% of the citizens thought that the hospital doctor had done a good job in "carefully asking about medical history" and "paying attention to protecting patient privacy." 63.9% of the public think that doctors are very careful about medical history; 63.0% of the public think that doctors pay attention to protecting the privacy of patients. More than half of the citizens think that doctors can make appointments for appointments, carefully check, patiently answer questions from patients, do not open medicines that are not symptomatic, and do not do anything unrelated when diagnosed. It seems that the public does not have to worry too much about the attitude of medical staff.
However, according to the survey data, 48% of the citizens said that the doctors who received the doctor did not explain the method of taking the medicine in detail; as many as 42.5% of the citizens thought that the doctor's diagnosis was not very accurate; 36.9% of the citizens denied the practicality of the doctor's treatment plan - no wonder 52.2% of the public worried that the medical staff had low levels of medical care and spent money to cure the disease.
43.0% of the public were worried about cross-infection during the hospital visit. The old disease did not remove new diseases; 41.8% of the public worried that the cost of medical treatment was large.
Another 34.3% of the citizens were afraid of trouble attending the hospital, and it was too long to wait in line. Liang Xiaosheng, a member of the National Committee of the Chinese People's Political Consultative Conference, said: "In Beijing, many hospitals are particularly like supermarkets, and they are especially like supermarkets in the days of big sales. The situation in the hospital is daunting."
3. 32.5% of the public are worried about cross-infection with blood products
43.0% of the public were worried about cross-infection during hospital visits. Among the various items related to cross-infection control, the public is most worried about cross-infection due to the use of blood products. In this regard, 12.4% of the public expressed concern, and 20.1% of the public expressed great concern.
We examined the ratings of hospitals and cross-infection control on a 10-point scale based on their level of reassurance. They found that citizens had the lowest level of confidence in using blood products, with an average of only 4.70 points.
Table 1: Ratings of the public's level of confidence regarding hospital and cross-infection control:
Optional mean standard deviation
Use of blood products
4.70
2.947
Disinfection of medical devices
5.61
2.718
Air disinfection
5.63
2.600
Disposable medical devices are not reused
6.06
2.961
3. 77.6% of the citizens think that washing hands frequently can effectively prevent infectious diseases. If the hospital is divided into medicine in the hospital and medicine in the community, then whether it is from the minimum output of economics, the maximum output standard, or the humanitarian principle Prevention of disease should take precedence over treatment of disease.
According to the website of the Ministry of Health, in XX, the total number of Class A and Class B infectious diseases in China was 3,180,327, and 7,151 deaths, the incidence rate was 235.85/100,000, the mortality rate was 0.53/100,000, and the case fatality rate was 0.22%. In addition to the morbidity and death of polio in the whole year, the remaining infectious diseases have been reported. The top five diseases were tuberculosis, hepatitis B, dysentery, gonorrhea, and hepatitis A, accounting for 85.01% of the total number of cases. The top five deaths were: rabies, tuberculosis, hepatitis B, AIDS, neonatal tetanus, accounting for 82.65% of the total number of deaths.
Beijing residents believe that the top five infectious diseases that pose the greatest threat to themselves are: hepatitis B, influenza, infectious atypical pneumonia, tuberculosis and AIDS.
77.6% of the citizens believe that washing hands frequently can effectively prevent infectious diseases. However, our survey found that 87% of the citizens regularly or occasionally eat out, the proportion of people who insist on washing hands before meals is 82.3%; 94.5% of the citizens have to go to public toilets, and only 68.2% insist on washing hands after convenience.
People usually think that restaurants are cleaner than hand washing facilities in public toilets, and only a few people admit that there is no habit of washing hands after toilets. Then a large number of people do not wash their hands before and after meals. It seems that the setting of water and faucet switches is unscientific. The reason is related. This requires the relevant departments to raise public health awareness, repair and renovate the relevant facilities of the public sinks, and give the public a sense of security and make the citizens live more comfortable.
The public believes that individuals can effectively prevent infectious diseases:
The "sample survey of medical and health problems" copyright belongs to the author; please indicate the source!
Mix other people's tableware, learn more about preventing infectious diseases, and don't spit.
Fourth, the high price of medicines and the simple emphasis on economic benefits are two major problems in the current medical and health aspects of Beijing.
63.8% of the citizens believe that the main problem in Beijing's current medical and health care is that the drug price is too high - only 1 yuan of ex-factory price of drugs is reported to 10 yuan, 20 yuan, to leave more rebate space to attract hospitals; Use "package refurbishment" to increase the price in disguise or add a little more important thing to the commonly used drugs, declare it as "new drug", and turn it up several times the price - these means of the manufacturer have caused the drug price to be artificially high.
Shi Zuolin, deputy of the National People's Congress and deputy director of the Fujian Provincial Hospital, believes that the low level of repeated production in China's pharmaceutical industry is serious, leading to the vicious competition in the pharmaceutical market with discounts as the primary cause of the high drug prices in China.
59.3% of the citizens think that the hospital thinks about economic benefits and ignores social benefits. It is also a big problem in Beijing's medical and health care.
The benefits of health management should focus on both social and economic benefits, and ultimately seek the unification of social and economic benefits. It is generally believed that social benefits are medical quality, service level, and therapeutic effects; economic benefits are the values embodied in the social benefits of people, finances, and materials in health units. Health undertakings are public welfare undertakings. For the purpose of profit, we must always put social benefits first and economic benefits second. To improve social benefits, we must first expand the service surface, carry out multi-level and all-round medical and health care services, or highlight the medical characteristics of a certain aspect, maximize the role of people, finances and materials, and satisfy the health care of the people as much as possible. Demand. Secondly, we must persist in focusing on patients and special populations, strive to improve the quality of medical care, urgency for patients, think about patients, and establish a good medical ethics.
44.1% of the public think that doctors do not give comfort to patients with psychological burden. 32.9% of the citizens listed the lack of charity and medical care for patients as one of the major problems in Beijing's medical and health care.
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