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

摘要： 背景　随着我国人口老龄化的不断加剧，庞大的老年人群使老年病的防治工作成为基层医疗机构的重要工作内容。而目前中医体质辨识服务在基层老年人健康管理的医疗工作中占据了越来越重要的地位。因此深入探寻影响社区中医体质辨识服务满意度的主要因素，有利于其进一步深化落实和发展。目的　基于供方视角，了解目前社区中医体质辨识服务开展的现况和基层医务人员对其的满意度情况，探讨影响老年人社区中医体质辨识服务供方满意度的因素，并根据调查结果提出相应的发展策略。方法　本研究采取分层随机抽样的方法，2017年9—10月在杭州、上虞、湖州分别选取6家社区卫生服务中心，共18家基层医疗机构进行调查，并抽取其中参与社区中医体质辨识服务的258例医务人员进行问卷调查，以了解目前社区中医体质辨识服务开展的现况和基层医务人员对其的满意度情况。调查问卷内容主要分为三部分：第一部分为调查对象的人口学基本信息；第二部分为社区中医体质辨识服务的现状，分为3个维度（技术规范、条件配备、对个人的影响）；第三部分为基层医务人员对社区中医体质辨识服务的满意度情况。采用多重线性回归分析探讨影响基层医务人员对社区中医体质辨证服务满意度的影响因素。结果　共发放问卷258份，回收有效问卷248份，有效回收率为96.0%。基层医务人员年龄以30~39岁为主（42.3%），学历以本科为主（61.7%），工作年限以1~10年为主（37.1%），年收入以5~10万元为主（70.2%），科室以其他科室医务人员为主（35.9%），职业类别以临床医师为主（32.3%），专业职称以初级为主（44.8%），参与培训次数以0次为主（30.7%）。基层医务人员对社区中医体质辨识服务现状评分由高到低依次为技术规范、条件配备、对个人的影响，对社区中医体质辨识服务的满意度评分为20~100分，平均（75.6±14.6）分。多重线性回归分析结果显示年收入、参加培训、技术规范、条件配备为基层医务人员对社区中医体质辨证服务满意度评分的影响因素。结论　基层医务人员对社区中医体质辨识服务现状评分由高到低依次为技术规范、条件配备、对个人的影响；对社区中医体质辨识服务的满意度评分总体处于中等偏上水平，平均得分为（75.6±14.6）分。应进一步完善社区中医体质辨识服务的设备配备，规范服务的技术路径，提高服务的可操作性，持续引入健康管理相关人才，合理安排在职的医务人员参加相关知识培训活动，提升基层医务人员对社区中医体质辨识服务的满意度，改善患者的就医体验。

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