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Factors affecting patient satisfaction with ecdemic medical care: a cross-sectional study in Nanchang, China

机译:影响患者对大剂量医疗保健满意度的因素:中国南昌市的横断面研究

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Purpose: This study aimed to determine the factors that influence patient satisfaction with ecdemic medical care. Materials and methods: Eight hundred and forty-four face-to-face interviews were conducted between October and November 2017 in two high-profile hospitals in Nanchang, China. Patient satisfaction was divided into lowest and highest satisfaction groups according the 80/20 rule. Demographic factors associated with patient satisfaction were identified by logistic regression models. Results: Respondents’ main reasons for choosing a non-local hospital were “high level of medical treatment” (581/844), “good reputation of the hospital” (533/844), and “advanced medical equipment” (417/844). The top three items that dissatisfied the ecdemic patients were “long time to wait for treatment” (553/844), “complicated formalities” (307/844), and “poor overall service attitude” (288/844). Fewer female patients (adjusted odds ratio [AOR] =1.47, 95% confidence interval [CI] =1.03–2.11), patients with a family per-capita monthly income (FPMI) between 3,001 and 5,000 CNY (AOR =1.40, 95% CI =1.01–2.17), inpatients (AOR =1.46, 95% CI =1.01–2.13), and more patients with an FPMI 7,000 CNY (AOR =0.43, 95% CI =0.20–0.92) were detected in the lowest satisfaction group. Fewer patients with an associate’s or bachelor’s degree (AOR =2.40, 95% CI =1.37–4.20) and patients with an FPMI 7,000 CNY (AOR =3.02, 95% CI =1.10–8.33) were detected in the highest satisfaction group. Moreover, more inpatients (AOR =0.70, 95% CI =0.54–0.97) and those aged 46–65 years (AOR =0.63, 95% CI =0.33–0.98) were detected in the highest satisfaction group. Conclusion: Findings suggested that managers of the medical facilities should note the importance of increasing their publicity through a rapidly developing media, as well as the necessity of creating a more patient-friendly medical care experience. Hospitals should also focus on the medical care experience of patients with relatively lower and higher income levels, male ecdemic patients, and ecdemic outpatients.
机译:目的:本研究旨在确定影响患者对集体医疗服务满意度的因素。资料和方法:2017年10月至2017年11月,在中国南昌市的两家知名医院进行了844次面对面访谈。根据80/20规则,将患者满意度分为最低和最高满意度组。通过逻辑回归模型确定了与患者满意度相关的人口统计学因素。结果:受访者选择非本地医院的主要原因是“高水平的治疗”(581/844),“医院的良好声誉”(533/844)和“先进的医疗设备”(417/844) )。对该病患者不满意的前三项是“等待时间长”(553/844),“手续复杂”(307/844)和“服务态度差”(288/844)。女性患者较少(调整后的优势比[AOR] = 1.47,95%置信区间[CI] = 1.03-2.11),家庭人均月收入(FPMI)在3001到5,000元之间的患者(AOR = 1.40,95% CI = 1.01–2.17),住院患者(AOR = 1.46,95%CI = 1.01–2.13)和更多FPMI> 7,000 CNY(AOR = 0.43,95%CI = 0.20–0.92)的患者满意度最低组。在满意度最高的人群中,具有副学士学位或学士学位(AOR = 2.40,95%CI = 1.37–4.20)和FPMI> 7,000 CNY(AOR = 3.02,95%CI = 1.10–8.33)的患者更少。此外,在最高满意度组中,发现了更多的住院患者(AOR = 0.70,95%CI = 0.54–0.97)和年龄在46–65岁的患者(AOR = 0.63,95%CI = 0.33-0.98)。结论:研究结果表明,医疗机构的管理者应注意通过迅速发展的媒体提高宣传的重要性,以及创造更加患者友好的医疗体验的必要性。医院还应关注收入水平相对较低和较高的患者,男性流行病患者和流行病学门诊患者的医疗护理经验。

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