关键词: 体质, 中医学说, 社区卫生中心, 卫生服务需求, 病人满意度, 影响因素分析, 供方视角

Abstract: Background　The aging population is increasing in China.The prevention and treatment of geriatric diseases in this growing population have become an important duty of healthcare institutions.TCM-based body constitution identification becomes a part of health management for the elderly in primary care with ever-growing importance.Therefore，exploring the main factors associated with primary providers' satisfaction with TCM-based body constitution identification for community-dwelling elderly people，is conducive to further development of such services.Objective　To investigate primary providers' satisfaction with TCM-based body constitution identification for community-dwelling elderly people and associated factors，putting forward the corresponding strategies for further development of such services.Methods　By use of stratified random sampling，from September to October 2017，6 community health centers were selected from each city of Hangzhou，Shangyu and Huzhou（totaled 18），and from which，258 health workers with an experience of delivering TCM-based body constitution identification were sampled.They were surveyed with a self-developed questionnaire consisting of demographic information，implementation status of TCM-based body constitution identification（technical standards for TCM health management，available equipments for the delivery of TCM-based body constitution identification，impact of the delivery of TCM-based body constitution identification on oneself），and level of satisfaction with the delivery of TCM-based body constitution identification.Multiple linear regression was used to analyze the influencing factors of primary providers' level of satisfaction with the delivery of such services.Results　Altogether，248 returned responsive questionnaires，achieving a response rate of 96.0%.Most of the respondents aged 30-39 years old（42.3%），had a college degree（61.7%），1-10 working years（37.1%），and an annual income of 50 000-100 000 yuan（70.2%），worked either in general practice or other departments（35.9%），worked as a clinician（32.3%），had a junior professional and technical title（44.8%），and had never participated in a on-the-job training（30.7%）．The 3 dimensions of TCM-based body constitution identification services presented in descending order of score evaluated by the respondents were：technical standards for TCM health management，available equipments for the delivery of TCM-based body constitution identification，and impact of the delivery of TCM-based body constitution identification on oneself.The score of level of satisfaction with the delivery of such services evaluated by the respondents ranged from 20 to 100，with an average of（75.6±14.6）．Multiple linear regression analysis showed that annual income，participating in the on-the-job training，the score of technical standards for TCM health management，the score of available equipments for the delivery of TCM-based body constitution identification were the influencing factors of primary providers' level of satisfaction with the delivery of TCM-based body constitution identification.Conclusion　The 3 dimensions of TCM-based body constitution identification services in descending order of score evaluated by the respondents were：technical standards for TCM health management，available equipments for the delivery of such services，and impact of the delivery of such services on oneself.The average score of level of satisfaction with the delivery of such services evaluated by them was（75.6±14.6），indicating that they had an above-average level of satisfaction with such services.In view of this，the equipments for the implementation of TCM-based body constitution identification should be improved，and the technical approaches should be standardized，and the operation of such services should be enhanced.Moreover，health management talents should be appropriately introduced，on-the-job trainings should be carried out reasonably in relevant health workers，in order to improve primary providers' satisfaction with the delivery of such services and the medical experience of patients.

Key words: Body constitution, TCM theories, Community health centers, Health services needs and demand, Patient satisfaction, Root cause analysis, Supplier perspective