Analysis on Satisfaction and Influencing Factors of Traditional Chinese Medicine Medical Service Among Residents in Tianjin

. Objective This paper analyzes Tianjin residents’ satisfaction with TCM medical services and its influencing factors, in order to provide reference for giving full play to social and economic benefits of TCM. Methods Using both stratified and random sampling method, Six hospitals from Heping, Jinghai and Beichen were selected, and 260 residents conducted questionnaires. Result Residents’ satisfaction rate of TCM medical service was 22.2 %. TCM knowledge propaganda and TCM price satisfaction score were the highest ( 3.5 ), and TCM curative effect score was the lowest ( 2.3 ).Logistic regression showed that gender, TCM knowledge propaganda, medical equipment, medical distance, medical convenience and reimbursement ratio had significant effects on residents’ satisfaction(P < 0.05).Conclusion Tianjin residents have low satisfaction with TCM medical services, so it is suggested to accelerate the innovation of TCM technology, improve the effect of TCM treatment, rationally allocate TCM medical resources, and improve the satisfaction of residents.


Introduction
The Outline of the Strategic Plan for TCM Development (2016-2030) calls for "of TCM services by 2020". The TCM service capacity is no single in the current scale and quantity, but also reflected in the quality of services and the satisfaction of residents. This paper analyzes the residents' utilization, satisfaction status and influencing factors of TCM services, and aims to make suggestions for the development of TCM medical services in Tianjin.

Study subjects
The study subject of this paper is mainly patients and accompanying persons from 6 hospitals in Heping District, Jinghai District and Beichen District of Tianjin.

Study methods
The stratified sampling method was used to randomly survey 40-60 residents in 6 hospitals in Heping, Jinghai and Beichen, with a total of 300 questionnaires with a recovery rate of 93.3%.
Statistical Methods: Using the Likert Scale table and domestic and foreign studies [2,3] measure the resident satisfaction score, descriptive analysis and Logistic regression analysis were analyzed by the SPSS26.0 statistical software.

Basic situation analysis of the study subjects
Among the 260 study subjects, 64.2% were male and 35.8% were female, there were 113 urban households and 147 rural households. The educational level was concentrated in the university undergraduate / junior college, with a total of 186 cases, accounting for 71.5%. The majority of retirees (56.9%), the highest proportion of 66-75,65.4%, and the lowest proportion of 76 is 2.7%. The family monthly household income is mainly less than 6000 yuan, of which 2001-4000-yuan accounts BCP Business & Management

Analysis of the study subjects' satisfaction with TCM medical services
The satisfaction of residents in Tianjin was analyzed from 11 indicators such as TCM knowledge propaganda, medical insurance reimbursement ratio and medical facilities. Studies have shown that the top three satisfaction scores are Chinese medicine knowledge publicity, Chinese medicine price (3.5), medical insurance reimbursement (3.4) and medical distance (3.3), which indicates that Tianjin has implemented Chinese medicine knowledge publicity in place and the pricing of Chinese medicine service is reasonable. However, the residents' satisfaction with the curative effect of traditional Chinese medicine is 2.3, and the satisfaction rate is only 3.8 %. Due to the small side effects and slow effect of traditional Chinese medicine, the residents' satisfaction is low, as shown in table 2.

Assignment code
In this paper, the five classification variables of satisfaction survey were recocoded to binary variables, that is, very satisfaction, satisfaction recoded to satisfaction, assigned 1; very dissatisfaction, dissatisfaction and generally recocoded to dissatisfaction, assigned 0.

Analysis of influencing factors
Logistic regression analysis was conducted with overall satisfaction as dependent variable and residents' basic situation and satisfaction evaluation index as independent variables. The data shows that gender, TCM knowledge propaganda, medical equipment, medical distance, medical convenience and medical insurance reimbursement have significant effects on residents' satisfaction. Research shows that men's satisfaction with TCM medical services is higher, and active publicity of TCM knowledge will improve residents' satisfaction. The highest OR for medical distance was 5.25, indicating that the closer the medical distance is, the 5.25-fold increase in the likelihood of an increase in residents' satisfaction, as shown in table 3.

Comprehensive improvement of medical services of traditional Chinese medicine and improvement of residents' satisfaction
In this paper, only two items were scored in the 3.5-4.4 points, while scoring the 2.9 points accounted for the six items. The proportion of residents expressing "satisfaction" with TCM medical services was 22.2%, the "dissatisfaction" was 14.7% higher. Therefore, it is suggested that the corresponding medical insurance policy of traditional Chinese medicine should be matched to help residents reduce the burden of "difficult and expensive medical treatment" and let traditional Chinese medicine escort the health of the people. It is also necessary to build a residents' feedback platform, actively evaluate medical services, achieve a virtuous cycle of "service construction-problem findingproblem solving", enhance the service ability of traditional Chinese medicine, and improve residents' reputation and satisfaction with traditional Chinese medicine services.

Concentrate human, financial and material resources on in-depth research and development to improve the efficacy of TCM
Among the 11 satisfaction indicators of medical service institutions, the score (2.3) and percentage (3.8%) were the lowest, which affected resident's satisfaction with TCM medical services. Health problem is related to the people's livelihood issues, the Singapore of traditional Chinese medicine medical systemfine management experience, and concentrate human, financial and material resources to "overall dialectical, enlarge, five elements of eight outline" original classic theory innovation research, combined with the needs of the development of modern medicine, scientific innovation of traditional Chinese medicine.

Scientific layout of medical institutions and rationally allocate medical resources
The Logistic regression showed that among the six factors influencing the satisfaction, the OR value of the "medical treatment distance" index was the highest, which was 18.1 times that of the index of "TCM knowledge publicity", indicating that shortening the medical treatment distance can improve residents' satisfaction with TCM medical services. Therefore, according to the number of institutions, beds and permanent population and other factors, medical institutions should be scientifically and reasonably distributed to provide convenient, accessible and accessible medical and health services for residents. It is also necessary to continue to improve service quality, reduce service prices, guide the rational allocation of medical service resources, and comprehensively promote the construction of TCM service system in resource-poor areas.