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性别对患者满意度的影响。

The influence of gender on patient satisfaction.

作者信息

Woods Scott E, Heidari Zahra

机构信息

Bethesda Family Medicine Residency, 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212, USA.

出版信息

J Gend Specif Med. 2003;6(4):30-5.

Abstract

OBJECTIVE

To investigate the influence of gender on patient satisfaction with hospitalization care.

METHODS

A random-selection, cross-sectional study was conducted. Data were collected by telephone interviews over a 2-year period utilizing a 16-item survey. Inclusion criteria were hospital admission between July 1, 1999 and July 1, 2001, age greater than 18 years, and the ability to speak on the telephone. Exclusion criteria were an admission for an obstetric purpose, physical rehabilitation, or psychiatric illness, or the inability to be reached by a telephone call. Logistic regression was used to compare gender with the responses for each of the 16 questions, while controlling for three confounders (age, race, and insurance status).

RESULTS

5857 patients were surveyed. Compared to men, women were significantly younger, had a higher percentage of African Americans, and more had Medicaid insurance (P < 0.05). Using multivariate analysis, women expressed significantly less satisfaction compared to men on four of the six questions related to nursing care, on three of the three questions related to entire staff care, on three of the three questions related to overall satisfaction, and on one of the two questions related to communication (P < 0.05). There was no difference in satisfaction between the genders for the two questions regarding physician are.

摘要

目的

探讨性别对患者住院护理满意度的影响。

方法

进行了一项随机选择的横断面研究。在两年时间内通过电话访谈收集数据,采用一份包含16个项目的调查问卷。纳入标准为1999年7月1日至2001年7月1日期间入院、年龄大于18岁且能通过电话交谈。排除标准为产科目的入院、身体康复或精神疾病入院,或无法通过电话联系到。使用逻辑回归比较性别与16个问题中每个问题的回答,同时控制三个混杂因素(年龄、种族和保险状况)。

结果

共调查了5857名患者。与男性相比,女性明显更年轻,非裔美国人的比例更高,且更多人拥有医疗补助保险(P < 0.05)。使用多变量分析,在与护理相关的六个问题中的四个、与全体医护人员护理相关的三个问题中的三个、与总体满意度相关的三个问题中的三个以及与沟通相关的两个问题中的一个上,女性表示的满意度明显低于男性(P < 0.05)。关于医生护理的两个问题,性别之间的满意度没有差异。

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