Harada Nancy D, Villa Valentine M, Andersen Ronald
Health Services Research, Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, UCLA School of Medicine and UCLA School of Public Health, Los Angeles, CA 90073, USA.
Am J Med Qual. 2002 Jul-Aug;17(4):155-64. doi: 10.1177/106286060201700405.
This study examines veterans' satisfaction with outpatient care within the context of outpatient user type, race/ethnicity, and veteran identity. The sample includes 2652 veterans who participated in the VIP 2001 Survey. After controlling for enabling and need characteristics in logistic regression models, Veterans Administration (VA)-only users were 2 to 8 times more satisfied with their outpatient care than were VA nonusers on 5 out of 10 satisfaction measures. White veterans were 1.5 to 3.4 times more satisfied than nonwhite veterans on 8 out of 10 satisfaction measures. Members of veterans' organizations were less satisfied with their outpatient care than nonmembers on 5 out of 10 satisfaction measures. Factors associated with race/ethnicity and veteran identity may be incorporated into interventions to improve VA outpatient care satisfaction.
本研究在门诊用户类型、种族/民族和退伍军人身份的背景下,考察退伍军人对门诊护理的满意度。样本包括2652名参与2001年退伍军人改善计划(VIP)调查的退伍军人。在逻辑回归模型中控制了促成因素和需求特征后,仅使用退伍军人管理局(VA)服务的用户在10项满意度指标中的5项上,对门诊护理的满意度比不使用VA服务的用户高出2至8倍。在10项满意度指标中的8项上,白人退伍军人的满意度比非白人退伍军人高出1.5至3.4倍。在10项满意度指标中的5项上,退伍军人组织成员对门诊护理的满意度低于非成员。与种族/民族和退伍军人身份相关的因素可纳入干预措施,以提高VA门诊护理的满意度。