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首页> 外文期刊>Patient Preference and Adherence >Comparison Of Expectations For Health Services Between Inpatients From Mental Health Department And Endocrinology Department In China
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Comparison Of Expectations For Health Services Between Inpatients From Mental Health Department And Endocrinology Department In China

机译：中国心理卫生署和内分泌署住院患者健康服务期望的比较

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Background: Patient expectations for health services refer to the anticipation or the belief about what should be encountered in the healthcare system. Understanding patient expectations can improve patient satisfaction and healthcare compliance. It is particularly important for patients with mental disorders, as greater healthcare compliance is required for them due to the chronic and relapsing nature of their diseases. However, little is known about expectations among Chinese patients with mental disorders. Objective: To examine expectations for healthcare among patients with mental disorders and to compare them with those of patients with chronic physical diseases. Patients and methods: A cross-sectional survey was conducted among two inpatient groups, consecutively recruited from the Mental Health Department (MHD) and Endocrinology Department (ED) in one tertiary general hospital in Changsha, China. Patient expectations were measured by eight translated and modified vignettes of health system responsiveness. Group differences were compared using Chi-square tests for socio-demographic and clinical characteristics and Z-test for expectation rating. Logistic regression was performed to test whether group differences of expectations remained statistically significant after controlling for socio-demographic and clinical variables. Results: Most patients from MHD rated scenarios in vignettes on communication, choice of provider, autonomy, and social support as “meeting expectations”, and rated scenarios in vignettes on prompt attention, dignity, confidentiality, and quality of basic amenities as “below expectations”. In comparison, patients from MHD had similar expectations with their counterparts from ED, for prompt attention, dignity, confidentiality, communication, choice of provider, and social support; however, patients from MHD had significantly lower expectations in quality of basic amenities and higher expectations in autonomy, after adjusting for socio-demographic and clinical factors. Conclusion: Like their counterparts with physical diseases, patients with mental disorders also expect prompt attention, dignity, confidentiality, communication, choice of provider, and social support in their interaction with the healthcare system. Moreover, extra attention to autonomy is needed for patients with mental disorders to meet their expectations and improve patient satisfaction.
机译：背景：患者对卫生服务的期望是指预期或对医疗保健系统所遇到的内容的预期。了解患者的期望可以提高患者满意度和医疗保健合规性。对于精神障碍患者尤为重要，因为由于慢性和疾病的性质，他们需要更大的医疗保健合规性。然而，对中国精神障碍患者的期望毫无知之甚少。目的：探讨精神障碍患者医疗保健的期望，并将它们与慢性身体疾病患者的患者进行比较。患者和方法：在中国长沙的一位高等院校综合医院（MHD）和内分泌学部门（ED）中，在中国的一家综合征群中进行了横断面调查。患者期望是通过八种翻译和改进的卫生系统响应性的翻译和修改的渐晕来衡量。使用Chi-Square测试对社会人口统计学和临床​​特征和Z检验进行比较进行组差异。在控制社会人口统计和临床变量后，进行了逻辑回归以测试期望的群体差异是否存在统计学意义。结果：大多数患者来自GIGNETTES的MHD额定情景，在传播，选择者，自主和社会支持中的选择，作为“会议预期”，以及小插口的评级情景，以提示注意力，尊严，保密性和基本设施的质量为“低于预期” “。相比之下，来自MHD的患者对来自ED的同行具有类似的预期，以提示注意力，尊严，机密性，通信，提供者选择以及社会支持;然而，在调整社会人口统计和临床因素后，MHD的患者对基本设施质量和高度期望具有显着较低的预期。结论：与物理疾病的同行，精神障碍的患者也希望提示注意力，尊严，机密性，沟通，提供者的选择以及与医疗保健系统的互动中的社会支持。此外，精神障碍患者需要额外关注自主性，以满足他们的期望，提高患者满意度。

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