Objective To investigate the consultation experience and associated factors among primary care outpatients from a grade A tertiary general hospital. Methods In March 2017, from General Practice Department, West China Hospital, Sichuan University, we recruited 200 outpatients and surveyed them by self-developed Consultation Experience of Primary Care Outpatients Questionnaire, for collecting their sociodemographic characteristics, and status and thoughts about the consultation. Totaled 185 returned responsive questionnaires, achieving a response rate of 92.5%. Results Of the 185 patients, 31 (16.8%) obtained the initial consultation from the nearest township hospital/community hospital, 105 (56.8%) acquired initial consultation from the general practice department, and 112 (60.5%) had never heard of general practitioners (GPs). The overall level of satisfaction with the consultation among them was 87.6% (162/185). Specifically, 136 (73.5%) thought that the doctor had spent sufficient time on communicating with them, 153 (82.7%) considered that the doctor had inquired their conditions in detail, and 167 (90.3%) considered that the doctor had explained the illness conditions clearly. Multivariate Logistic regression analysis showed that consultation length, detail level of the doctor's inquiry, clarity level of doctor's explanation of the illness conditions were associated factors for the level of satisfaction with consultation among the primary care outpatients (P<0.05). Conclusion Primary outpatient care delivered by this grade A tertiary general hospital achieved high level of patient satisfaction. GPs often or always spend sufficient time on communicating with patients, inquiring their conditions detailedly, and explain the illness conditions well, can improve the level of patient satisfaction with consultation.%目的 了解综合性三级甲等医院全科门诊患者的就诊体验,并探讨其影响因素.方法 选取于2017年3月在四川大学华西医院全科医学科门诊就诊的患者200例.采用课题组自行设计的"全科门诊患者就诊体验问卷"对纳入患者进行调查,问卷内容包括患者的基本情况、就诊相关情况、就诊体验.共回收有效问卷185份,问卷有效回收率为92.5%.结果 185例患者中,31例(16.8%)的首诊机构为就近乡镇卫生院/社区医院,105例(56.8%)的首诊科室为全科,112例(60.5%)没听说过全科医生.患者对本次就诊体验的总体满意度为87.6%(162/185), 136例(73.5%)认为与医生沟通病情时间充足,153例(82.7%)认为医生询问病情详细,167例(90.3%)认为医生解释病情清楚.多因素Logistic回归分析结果显示,与医生交流病情时间、医生询问病情详细程度、医生解释病情清楚程度是全科门诊患者就诊满意度的影响因素(P<0.05).结论 患者对全科门诊就诊体验的评价较高,与医生交流病情时间充足、医生询问病情详细、医生解释病情清楚可以提高患者的就诊满意度.
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