Saeed A A, Mohammed B A, Magzoub M E, Al-Doghaither A H
Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2001 Mar;22(3):262-7.
To estimate quantitatively consumers' satisfaction and correlates of satisfaction with physicians' services provided by Ministry of Health Primary Health Care Centers in attending consumers.
Consumers (n = 540) attending the selected Primary Health Care Centers in Riyadh were asked about their satisfaction with physician's services. Eight Primary Health Care Centers were randomly selected according to the geographical location, two from each geographical zone. Seventy-five subjects were selected systematically where every tenth Saudi aged 15 years and above who visited the selected Primary Health Care Centers during the study period was chosen. Data was collected via a self administered pilot tested, internally consistent patient satisfaction questionnaire which included socio-demographic characteristics as well as the overall and differential satisfaction with the different aspects of physicians' services in the selected Primary Health Care Centers rated in a scale of 1 5 points, the higher the score the higher the satisfaction.
The results revealed that males constituted 60%, and 58% of all patients were married, more than 60% were employees and more than 70% have a monthly income of less than 6000 Saudi Riyals. Almost 95% have an open file in the Primary Health Care Center and 39% think that the distance to the Primary Health Care Center is far or very far. The summary satisfaction score was 3.77 points and the mean satisfaction with the services provided by physicians was 2.56 points out of a maximum of 5 points The highest satisfaction was for discussing psychological aspects of patients' problems (2.96 points) and the lowest was for attentive listening to patients' complaints (2.22 points). Physicians' communication skills were more satisfactory to patients than their professional skills and satisfying patients' wishes scored the lowest satisfaction- Unskilled laborers, literate patients and patients with higher income showed significantly higher mean satisfaction while students, illiterates, those aged less than 50 years and patients with income less than 6000 Riyals per months scored the lowest satisfaction. The longer the distance travelled the lower the satisfaction scores but having a file or not was not related to satisfaction.
Some physicians' service items need corrective intervention and students and young patients appear to need more attention.
定量评估利雅得市卫生部初级卫生保健中心为就诊消费者提供的医生服务的消费者满意度及其相关因素。
询问利雅得市选定初级卫生保健中心的消费者(n = 540)对医生服务的满意度。根据地理位置随机选择8家初级卫生保健中心,每个地理区域选2家。在研究期间,从访问选定初级卫生保健中心的15岁及以上沙特人中,系统地选取每第十位作为研究对象,共选取75名。通过一份经过预测试且内部一致的患者满意度自填问卷收集数据,问卷包括社会人口学特征,以及对选定初级卫生保健中心医生服务不同方面的总体满意度和差异满意度,满意度以1至5分进行评分,分数越高满意度越高。
结果显示,男性占所有患者的60%,58%的患者已婚,超过60%为雇员,超过70%的患者月收入低于6000沙特里亚尔。近95%的患者在初级卫生保健中心有开放档案,39%的患者认为到初级卫生保健中心的距离远或非常远。总体满意度评分为3.77分,对医生提供服务的平均满意度为2.56分(满分5分)。对患者问题心理方面的讨论满意度最高(2.96分),对认真倾听患者投诉的满意度最低(2.22分)。患者对医生沟通技巧的满意度高于专业技能,满足患者愿望的满意度最低。非技术工人、识字患者和高收入患者的平均满意度显著较高,而学生、文盲、年龄小于50岁的患者和月收入低于6000里亚尔的患者满意度最低。出行距离越长,满意度得分越低,但有无档案与满意度无关。
一些医生服务项目需要进行纠正干预,学生和年轻患者似乎需要更多关注。