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首页> 外文期刊>European journal of gastroenterology and hepatology >Assessing overall patient satisfaction in inflammatory bowel disease using structural equation modeling
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Assessing overall patient satisfaction in inflammatory bowel disease using structural equation modeling

机译：使用结构方程模型评估炎症性肠病的总体患者满意度

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Background/aimsStructural equation modeling (SEM) is a very popular data-analytic technique for the evaluation of customer satisfaction. We aimed to measure the overall satisfaction of inflammatory bowel disease (IBD) patients with healthcare in Portugal and to define its main determinants using SEM.Patients and methodsThe study included three steps: (i) specification of a patient satisfaction model that included the following dimensions: Image, Expectations, Facilities, Admission process, Assistant staff, Nursing staff, Medical staff, Treatment, Inpatient care, Outpatient care, Overall quality, Overall satisfaction, and Loyalty; (ii) sample survey from 2000 patients, members of the Portuguese Association of the IBD; and (iii) estimation of the satisfaction model using partial least squares (XLSTAT-PLSPM).ResultsWe received 498 (25%) valid questionnaires from 324 (66%) patients with Crohn's disease and 162 (33%) patients with ulcerative colitis. Our model provided a substantial explanation for Overall satisfaction (R-2=0.82). The mean index of overall satisfaction was 74.4 (0-100 scale). The main determinants of Overall satisfaction were the Image (=0.26), Outpatient care (=0.23), and Overall quality (=0.21), whose mean indices were 83, 75, and 81, respectively. Facilities and Inpatient care were the variables with a significant impact on Overall satisfaction and the worst mean indices.ConclusionSEM is useful for the evaluation of IBD patient satisfaction. The Overall satisfaction of IBD patients with healthcare in Portugal is good, but to increase it, IBD services need to focus on the improvement of Outpatient care, Facilities, and Inpatient care. Our model could be a matrix for a global model of IBD patient satisfaction. Copyright (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.
机译：背景/目标结构方程模型（SEM）是一种非常流行的数据分析技术，用于评估客户满意度。我们旨在测量葡萄牙炎症性肠病（IBD）患者对医疗保健的总体满意度，并使用SEM定义其主要决定因素。患者和方法研究包括三个步骤：（i）规范患者满意度模型，其中包括以下维度：图像，期望，设施，入院过程，助理人员，护理人员，医务人员，治疗，住院护理，门诊护理，总体质量，总体满意度和忠诚度; （ii）对来自IBD葡萄牙协会成员的2000名患者的抽样调查;结果我们从324名（66％）克罗恩病患者和162名（33％）溃疡性结肠炎患者中收到了498张（25％）有效调查表，使用偏最小二乘（XLSTAT-PLSPM）评估满意度模型。我们的模型为总体满意度（R-2 = 0.82）提供了实质性解释。总体满意度的平均指数为74.4（0-100分制）。总体满意度的主要决定因素是图像（= 0.26），门诊护理（= 0.23）和总体质量（= 0.21），其平均指数分别为83、75和81。设施和住院护理是影响总体满意度和最差平均指数的变量。结论SEM可用于评估IBD患者满意度。在葡萄牙，IBD患者对医疗保健的总体满意度很高，但要提高该满意度，IBD服务需要着重改善门诊，设施和住院治疗。我们的模型可以作为IBD患者满意度全球模型的矩阵。版权所有（C）2015 Wolters Kluwer Health，Inc.保留所有权利。

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