Abstract: Background　The implementation of China's national essential public health services is a free public welfare for Chinese residents，and an indispensible part of the strategies for building a "Healthy China".The governmental investment for the implementation of these services is increasing year by year，but the effect of the implementation in each province is unclear.Objective　To investigate the levels of awareness and satisfaction with the national essential public health services in Guangdong residents，providing a basis for improving the quality of such services and enhancing residents' sense of gain.Methods　In March 2018，by quota sampling，100 residents，including 38 priority adult individuals（consisting of 6 pregnant and puerperant women，18 parents of 0-6-year-old children，8 elderly people and 6 with chronic diseases） and 62 normal adult individuals，were selected from each of 21 prefecture-level cities of Guangdong Province（totaled 2 100）．All of them received a telephone-based survey with the questionnaire，Awareness of the China's National Essential Public Health Services，for collecting the approaches to know the knowledge about the 15 essential public health services（14 categories） and the awareness level of such services.Residents who knew at least 6 services were identified as having qualified awareness level.A total of 1 330 of the 2 100 residents who had received at least 1 category of such services also received a telephone survey with the questionnaire.Satisfaction with the China's National Essential Public Health Services，for collecting the level of satisfaction with convenience in accessing to such services，effect of such services on improving health，practical skills of healthcare providers and their attitude in delivering such services，and intention of continuing to receive such services.Spearman correlation analysis was used to investigate the correlation between residents' awareness level and overall satisfaction level of such services.Results　The overall awareness rate of the free national essential public health services in the residents was 13.52%（284/2 100）．Of the 15 services，immunization awareness rate〔39.90%（838/2 100）〕was the highest，while traditional Chinese medicine health management awareness rate〔8.19%（172/2 100）〕was the lowest.In terms of the approaches to know the essential public health services，reading the notices or posters on the community bulletin board was the most popular approach〔53.56%（143/267）〕，followed by WeChat/text messages 〔48.69%（130/267）〕.75.19%（25 001/33 250） of the Guangdong residents were satisfied with the national essential public health services.In terms of choosing the institutions for continuing to receive such services，the rate of the residents〔82.87%（5 511/6 650）〕intending to choose primary healthcare settings was the highest.However，in respect of the practical skills of healthcare providers，the rate of the residents〔70.17%（4 666/6 650）〕who were satisfied with primary care providers was the lowest.The overall levels of awareness and satisfaction with the national essential public health services showed a positive correlation（rs=0.189，P<0.001）．Conclusion　Guangdong residents have unsatisfactory levels of awareness and satisfaction with the national essential public health services.In order to promote the development of the national essential public health services，the publicity of such services should be strengthened and the qualities of primary care providers should be improved.

Key words: National essential public health services, Public health, Health care surveys, Resident satisfication, Awareness, Telephone survey, Guangdong

摘要： 背景　国家基本公共卫生服务项目是一项免费、惠及所有居民的福利性政策，是健康中国战略不可或缺的一部分，政府财政投入逐年增大，但是各省实施效果有待调查。目的　调查广东省居民对国家基本公共卫生服务项目的知晓率和满意度，为改善服务质量、提升居民获得感提供依据。方法　2018年3月，采用配额抽样方法，对广东省21地市2 100例居民（每地市抽取100例居民，其中孕产妇6例，0~6岁儿童家长18例，老年人8例，慢性病患者6例）进行电话问卷调查。采用知晓率调查问卷调查2 100例居民对14类（15项）国家基本公共卫生服务项目的知晓率、知晓途径，知晓率以知晓其中≥6项免费服务项目定义为知晓。采用满意度调查问卷调查接受过14类项目中的任何一类或几类服务项目的1 330例居民对获得基本公共卫生服务的便利程度、基本公共卫生服务对改善健康的作用、医务人员的技术水平及服务态度、是否愿意继续接受服务5个方面的满意度。采用Spearman相关分析知晓率与总体满意度的相关性。结果　广东省居民对国家基本公共卫生服务项目免费服务政策的总体知晓率为13.52%（284/2 100）。15个项目中，预防接种知晓率最高，为39.90%（838/2 100），中医药健康管理知晓率最低，为8.19%（172/2 100）。通过社区宣传栏/告示知晓基本公共卫生服务项目免费服务政策的比例最高，占53.56%（143/267），其次为通过手机微信/短信知晓，占48.69%（130/267）。广东省居民总体满意度为75.19%（25 001/33 250），其中，愿意由基层医疗卫生机构继续提供基本公共卫生服务项目的满意度最高，为82.87%（5 511/6 650）；对基层医疗卫生机构医务人员的服务技术水平满意度最低，为70.17%（4 666/6 650）。知晓率与总体满意度呈正相关（rs=0.189，P<0.001）。结论　广东省居民对国家基本公共卫生服务项目政策知晓率和满意度均较低，应从加大宣传力度、提高基层医务人员素质两方面着手，推动国家基本公共卫生服务项目工作发展。

关键词: 国家基本公共卫生服务项目, 公共卫生, 卫生保健调查, 居民满意度, 知晓率, 电话调查, 广东