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The effects of patient and physician characteristics on early outpatient satisfaction with substance dependence care: results of the SUBUSQOL study

机译:患者和医生特征对早期门诊患者对药物依赖治疗的满意度的影响:SUBUSQOL研究的结果

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Background: Although patient perceptions of health care have increasingly been explored in the literature, little is known about care satisfaction among individuals with substance dependence. This exploratory study assessed the relationships between patient and physician characteristics and early outpatient satisfaction with care for alcohol and opioid dependence. Methods: Satisfaction was assessed using a multidimensional, self-administered and validated questionnaire during the early care process among a prospective outpatient cohort. In addition to measuring satisfaction and obtaining sociodemographic and clinical data, this study collected data on the self-reported health status and physician characteristics at inclusion. Cross-sectional analysis with multiple linear regression was performed to identify the variables associated with satisfaction level. Results: A total of 249 outpatients were included, and 63.8% completed the satisfaction questionnaire. Patients without a history of previous care for substance dependence were more satisfied with the appointment-making process (β=7.2; P =0.029) and with the doctor consultation (β=10.3; P =0.003) than those who had received care previously. Neither sociodemographic characteristics nor self-reported health status was associated with outpatient satisfaction. Conclusion: The factors that affect patients’ ratings of early satisfaction with the care that they receive should be studied further because increased understanding of the factors that negatively affect these ratings might enable caregivers and outpatient management facilities to improve the patient experience during the early stages of care, which might in turn improve treatment adherence, continuity of care, and other health-related outcomes.
机译:背景:尽管在文献中越来越多地探索了患者对医疗保健的看法,但对药物依赖个体的医疗满意度却知之甚少。这项探索性研究评估了患者和医师特征与早期门诊患者对酒精和阿片类药物依赖的满意度之间的关系。方法:在预期的门诊患者中,使用早期自我护理过程中经过验证的多维多维问卷对满意度进行评估。除了测量满意度并获得社会人口统计学和临床​​数据外,本研究还收集了自我报告的健康状况和内科医师特征的数据。使用多元线性回归进行横截面分析,以确定与满意度相关的变量。结果:共纳入249位门诊患者,完成满意度问卷的占63.8%。与以前接受过药物治疗的患者相比,没有过药物依赖治疗史的患者对约会过程(β= 7.2; P = 0.029)和医生咨询(β= 10.3; P = 0.003)更加满意。社会人口统计学特征或自我报告的健康状况均与门诊患者满意度无关。结论:影响患者对他们所接受的护理的早期满意度等级的因素应进一步研究,因为加深对负面影响这些等级的因素的理解,可能会使护理人员和门诊管理机构在早期阶段改善患者的体验。护理,进而可以改善治疗依从性,护理的连续性以及其他与健康相关的结果。

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