Tucker J L, Kelley V A
U.S. Army-Baylor University Graduate Program, Fort Sam Houston, TX (FACHE), USA.
Mil Med. 2000 Jan;165(1):72-6.
The patient satisfaction responses of active duty Army patients in military facilities were analyzed to determine (1) if patients differ along sociodemographic characteristics, (2) the predictors of satisfaction, and (3) the sociodemographic characteristics that moderate patients' satisfaction. Regression results suggest that access, communication, outcomes, and quality predict 42% of the variation in patients' satisfaction scores. Additionally, an analysis of variance suggests that patient satisfaction evaluations are significantly different along sociodemographic characteristics excepting marital status and duty location. Finally, patients' sociodemographic characteristics, with the exceptions of gender and marital status, moderate patients' satisfaction. These findings suggest that patients' satisfaction differs significantly along age, rank, gender, education, race, health status, and utilization individually, but this difference predicts only 5% of patients' satisfaction ratings. This study provides areas of consideration for improving active Army patients' satisfaction in military facilities and suggests theoretically and empirically supported ways to prioritize scarce resources and optimize efforts when faced with constraints.
对军事设施中现役陆军患者的患者满意度反馈进行了分析，以确定：（1）患者在社会人口统计学特征方面是否存在差异；（2）满意度的预测因素；（3）调节患者满意度的社会人口统计学特征。回归结果表明，就医便利性、沟通、治疗结果和医疗质量可预测患者满意度得分中42%的变化。此外，方差分析表明，除婚姻状况和服役地点外，患者满意度评估在社会人口统计学特征方面存在显著差异。最后，除性别和婚姻状况外，患者的社会人口统计学特征调节患者的满意度。这些发现表明，患者满意度在年龄、军衔、性别、教育程度、种族、健康状况和就医利用率方面各自存在显著差异，但这种差异仅能预测5%的患者满意度评分。本研究为提高现役陆军患者在军事设施中的满意度提供了需要考虑的方面，并提出了在面临资源限制时对稀缺资源进行优先排序和优化工作的理论和实证支持方法。
