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The influences of patient's satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient's life satisfaction in China

机译:中国患者对医疗服务的满意度,对医疗服务的评估以及对医疗服务体系的信任度对患者生活满意度的影响

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Background Patient’s satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. The aim of this study was to test whether and to what extent patient’s satisfaction with medical service delivery/patient’s assessments of various major aspects of medical service/various major aspects of patient’s trust in health delivery system influenced patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. Methods This study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17 provinces, autonomous regions, and municipalities directly under the central government (N?=?3,386), and specified ordered probit models were established to analyze dataset from this household survey. Results The key considerations in generating patient’s life satisfaction involved patient’s overall satisfaction with medical service delivery, assessment of doctor-patient communication, assessment of medical cost, assessment of medical treatment process, assessment of medical facility and hospital environment, assessment of waiting time for medical service, trust in prescription, trust in doctor, and trust in recommended medical examination. But the major considerations in generating patient’s life satisfaction were different among low level public hospital, high level public hospital, and private hospital. Conclusion The promotion of patient’s overall satisfaction with medical service delivery, the improvement of doctor-patient communication, the reduction of medical cost, the improvement of medical treatment process, the promotion of medical facility and hospital environment, the reduction of waiting time for medical service, the promotion of patient’s trust in prescription, the promotion of patient’s trust in doctor, and the promotion of patient’s trust in recommended medical examination could all help promote patient’s life satisfaction. But their promotion effects were different among low level public hospital, high level public hospital, and private hospital.
机译:背景技术患者对医疗服务提供的满意度/医疗服务评估/对医疗服务体系的信任度可能会对中国医疗服务系统/各种医院的患者的生活满意度产生重大影响。这项研究的目的是测试患者对医疗服务的满意度/患者对医疗服务各个主要方面的评估/患者对医疗服务体系信任的各个主要方面的评估是否以及在多大程度上影响了中国医疗服务体系中的患者生活满意度/在各种医院。方法:本研究与中国国家统计局合作,在中央政府直辖的17个省,自治区,直辖市进行了2008年全国城市居民家庭调查(N≥3,386),并建立了特定的有序概率模型。分析此家庭调查的数据集。结果产生患者生活满意度的关键考虑因素包括患者对医疗服务提供的整体满意度,医患沟通评估,医疗成本评估,医疗过程评估,医疗设施和医院环境评估,等待医疗时间的评估服务,对处方的信任,对医生的信任以及对建议的身体检查的信任。但是,在低级公立医院,高级公立医院和私立医院中,提高患者生活满意度的主要考虑因素有所不同。结论提高了患者对医疗服务的整体满意度,改善了医患沟通,降低了医疗成本,改善了医疗过程,改善了医疗设施和医院环境,减少了等待服务的时间促进患者对处方的信任,促进患者对医生的信任以及促进患者对推荐医学检查的信任都可以帮助提高患者的生活满意度。但是它们在低级公立医院,高级公立医院和私立医院中的促进效果是不同的。

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