中文摘要：

目的：分析患者对医疗机构公益性的评价，探讨医疗机构公益性评价的影响因素。方法：抽取3个省份48家医疗机构调查5760名病人，采用描述性方法分析患者的基本特征和公益性评价结果，以logistic回归方法进行多因素分析。结果：患者对公立医疗机构公益性的总体满意率为82．4％。公立医疗机构公益性评价的影响因素包括整体环境、就诊流程、就诊费用、义诊次数、适度检查、合理处方、经济困难病人先诊疗后收费、医保和自费病人平等对待、就诊医院级别和医院所在地区等。结论：患者对公立医疗机构的整体公益性评价较高。医疗机构整体环境、就医流程、服务适宜性以及公平性可作为医疗机构公益性进一步改善的切入点。

英文摘要：

Objective： This research is to analyse patients＇ social responsibility evaluation results of health in- stitutions and to discuss the evaluation influencing factors. Method： 5 760 patients in 48 public medical institutions were surveyed in three provinces. It described the survey samples＇ basic situation and the results of social responsi- bility evaluation. Logistic regression was used to analyse the influencing factors of social responsibility evaluation. Result ： The main patients＇ satisfactory rate of social responsibility was 82. 4%. The influencing factors of social re- sponsibility evaluation were including environment, medical procedure, cost, user free services, appropriate exami- nation, reasonable prescription, diagnosis and treat without payment for poor patients, equal entitlement for patients with or without insurance, hospital level and hospital location. Conclusion： The patients＇ evaluation of social respon- sibility is relatively good. The environment, medical procedure, medical service appropriateness and equity could be the entry point of improving social responsibility.