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首页> 外文期刊>BMC Family Practice >Is patient satisfaction with organizational aspects of their general practitioner’s practice associated with patient and doctor gender? An observational study
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Is patient satisfaction with organizational aspects of their general practitioner’s practice associated with patient and doctor gender? An observational study

机译：患者对全科医生执业的组织方面的满意度是否与患者和医生的性别有关？观察研究

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Background No study has assessed the association between patients’ and doctors’ gender and patient satisfaction with organizational aspects of health care in primary care. However, just like satisfaction regarding communication styles or technical skills, satisfaction towards organization of the general practitioner (GP) practice could also depend on doctors’ and/or patients’ gender. Different expectations between female and male patients regarding the organization of the practice or different ways of organizing care delivery between female and male GPs could act on this satisfaction. We aimed to compare female and male patients’ satisfaction towards their GP overall, and according to GPs’ gender. Methods In a cross-sectional study in Geneva, 23 randomly selected GPs (participation rate: 31?%) were asked to recruit up to 100 consecutive patients coming to the practice for a scheduled medical consultation. The patients completed an anonymous questionnaire about their satisfaction with their GP. Patient satisfaction was assessed using the six questions from the Europep questionnaire regarding organizational aspects of health care in terms of accessibility and availability, and presented in two different ways: % of patients very satisfied and mean score (SD). Multivariate analyses adjusting for patient and GP characteristics were conducted to compare outcomes between genders. Results One thousand six hundred thirty-seven patients agreed to participate (participation rate: 97?%, women: 63?%, mean age: 54?years). The majority of patients were very satisfied (women 96.2?%, men 95.3?%, p =?0.38). Mean satisfaction scores were slightly higher in women (for overall satisfaction: women 4.7/5 (SD 0.6), men 4.6/5 (SD 0.6), p =?0.02) and in women visiting male GPs (women 4.6 (SD 0.6), men 4.5 (SD 0.6), p =?0.01), and the gender differences showed consistency across satisfaction items. These differences were small and no longer statistically significant in multivariate analyses. Conclusions These findings suggest that patients are highly satisfied with the organization of their GP’s practice, regardless of patients’ and GPs’ gender. As patients’ and GPs’ gender are known to influence patient satisfaction towards primary care delivery and as the current study is the first to explore this aspect in relation to organizational aspects of GP practice, further studies are needed in various primary care settings to confirm our results.
机译：背景尚无研究评估患者和医生的性别以及患者对基层医疗保健组织方面的满意度之间的关联。但是，就像对沟通方式或技术技能的满意度一样，对全科医生（GP）执业组织的满意度也可能取决于医生和/或患者的性别。男性和女性患者对实践组织的不同期望，或男性和女性全科医生之间组织医疗服务的不同方式，都可能影响这种满意度。我们旨在比较男女患者对全科医生的总体满意度，并根据全科医生的性别进行比较。方法在日内瓦的一项横断面研究中，要求随机抽取23名GP（参与率：31％）来招募多达100名连续患者来诊所进行定期医疗咨询。患者完成了关于他们对全科医生满意度的匿名问卷调查。使用来自Europep问卷的六个问题，就可及性和可及性方面的卫生保健组织方面评估了患者满意度，并以两种不同的方式表示：非常满意的患者百分比和平均得分（SD）。进行了针对患者和GP特征进行调整的多变量分析，以比较性别之间的结果。结果167例患者同意参加（参与率：97％，女性：63％，平均年龄：54岁）。大多数患者都非常满意（女性为96.2％，男性为95.3％，p =？0.38）。女性的平均满意度得分（整体满意度：女性4.7 / 5（SD 0.6），男性4.6 / 5（SD 0.6），p =？0.02）和访问男性全科医生的女性（女性4.6（SD 0.6））略高。男性4.5（SD 0.6），p =？0.01），并且性别差异显示出满意度项目之间的一致性。这些差异很小，在多元分析中不再具有统计学意义。结论这些发现表明，无论患者和GP的性别如何，患者对其GP的组织方式都非常满意。由于已知患者和全科医生的性别会影响患者对初级保健服务的满意度，并且由于当前的研究是首次探讨与全科医生实践的组织方面相关的这一方面，因此需要在各种初级保健机构中进行进一步的研究以确认我们结果。

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