Peer-reviewed article
Satisfaction with immunization services and factors associated with satisfaction among guardians of 0-6-year-old children in China: A cross-sectional study.
Qingsong Yu, Jiakai Ye, Lei Cao, Yifan Song, Zhaonan Zhang et al. ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study surveyed 3,099 guardians of young children across 180 vaccination clinics in 10 Chinese provinces to measure satisfaction with immunization services. Most guardians (84.6%) reported being very satisfied or satisfied overall, with staff attitudes rated highest (97.9%) and clinic queuing times rated lowest (85.8%). Satisfaction was higher among guardians who had shorter travel times to clinics, could make appointments, had confidence in vaccines, and experienced shorter waiting times, while higher-income families reported lower satisfaction levels.
Key points
- 84.6% of guardians were very satisfied or satisfied with all eight aspects of immunization services
- Individual item satisfaction ranged from 85.8% for clinic queuing time to 97.9% for staff service attitude
- Medical worker guardians were 2.13 times more likely to be satisfied than non-medical workers
- Satisfaction was significantly associated with appointment availability (OR: 2.58) and travel time ≤10 minutes (OR: 1.78)
- Guardians with annual family income >100,000 yuan had lower satisfaction (OR: 0.61)
Limitations
This cross-sectional study measures satisfaction at a single time point and cannot establish causation. The findings reflect guardians' perceptions and may not directly measure the quality or effectiveness of immunization services themselves.
Abstract
Guardians' satisfaction is an important quality indicator of vaccination services. However, there is insufficient contemporary, post-pandemic research on parent/guardian satisfaction with immunization services in China. In this study, we explore satisfaction of guardians of young children with vaccination services, and factors associated with satisfaction. During December 2022 to March 2023, we conducted a cross-sectional, questionnaire-based satisfaction survey of guardians of 0-6-y-old children attending any of 180 vaccination clinics in 10 provinces selected through a multi-stage stratified random sampling method. The primary outcome was guardian satisfaction with eight aspects of routine immunization services. Among 3,099 guardians, 84.6% were very satisfied or satisfied with all eight aspects of immunization services. Individual item satisfaction ranged from 85.8% (clinic queuing time) to 97.9% (staff service attitude). Multivariate logistic regression showed that medical-worker guardians were 2.13 times more likely to be satisfied than non-medical worker guardians (OR: 2.13; 95% CI: 1.32-3.44); satisfaction was positively associated travel time to clinic ≤10 min (OR: 1.78; 95% CI: 1.45-2.19); making an appointment (OR: 2.58; 95% CI: 2.10-3.16); having confidence in vaccine effectiveness (OR: 2.10; 95% CI: 1.33-3.29) and waiting times ≤10 min (OR: 1.29; 95% CI: 1.05-1.59). Guardians with an annual family income >100,000 yuan had a lower satisfaction level (OR: 0.61; 95% CI: 0.49-0.76). Guardians' satisfaction with vaccination services was high overall, but can be improved. Satisfaction is influenced by guardians' occupation, income, service accessibility, and knowledge. Optimizing appointment systems, shortening waiting times, and enhancing education about vaccination may improve the quality of immunization services and guardians' satisfaction.
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
- Intervention
- Cross-sectional survey assessing eight aspects of routine immunization services including staff service attitude, vaccine information provision, vaccination safety, clinic environment, queuing time, waiting time, appointment availability, and accessibility
- Population
- 3,099 guardians of children aged 0-6 years attending 180 vaccination clinics across 10 provinces in China
Key finding
84.6% of guardians very satisfied or satisfied with all eight service aspects