Rudzik Alanna E F
Department of Anthropology, University of Toronto, Ontario, Canada M5S 1A1, Canada.
J Health Popul Nutr. 2003 Sep;21(3):243-50.
Surveys of patient satisfaction are widely used for identifying priorities and problems in healthcare reforms. The present study examined satisfaction and confidence of patients in public healthcare in Trinidad and Tobago. Data were gathered by interviewing a random sample (n = 280) of primary healthcare (PHC) patients. Level of patient satisfaction was high but not constant. Results of interviews showed that patients with a higher monthly income (p = 0.032) and patients who most recently used private medical care (p = 0.037) had lower levels of satisfaction with health services. Employment had an effect on satisfaction (p = 0.065), significant among patients who had recently accessed private medical care (p = 0.039). Patients using PHC clinics preferred private care to public care. Confidence in public care decreased with increasing complexity of the medical condition. These preliminary results support continued efforts in health-sector reforms and call for the enhancement of data on satisfaction through more comprehensive qualitative data-collection methods.
患者满意度调查被广泛用于确定医疗改革中的优先事项和问题。本研究调查了特立尼达和多巴哥患者对公共医疗保健的满意度和信心。通过对初级医疗保健（PHC）患者的随机样本（n = 280）进行访谈收集数据。患者满意度较高但并非一成不变。访谈结果显示，月收入较高的患者（p = 0.032）和最近使用过私人医疗服务的患者（p = 0.037）对医疗服务的满意度较低。就业对满意度有影响（p = 0.065），在最近使用过私人医疗服务的患者中影响显著（p = 0.039）。使用初级医疗保健诊所的患者更喜欢私人医疗服务而非公共医疗服务。对公共医疗保健的信心随着病情复杂性的增加而降低。这些初步结果支持在卫生部门改革方面继续努力，并呼吁通过更全面的定性数据收集方法加强满意度数据。
