Gaumer Gary
School of Health Studies, Department of Health Care Administration, Simmons College, Boston, Mass. 02115, USA.
J Manipulative Physiol Ther. 2006 Jul-Aug;29(6):455-62. doi: 10.1016/j.jmpt.2006.06.013.
The purpose of this study is to review the recent literature on satisfaction with chiropractic care and offer a multivariate analysis of a national household survey data to understand which aspects of care and behavior contribute most to patient satisfaction with chiropractors.
A national phone survey of households was done to measure attitudes, utilization, and health practices of chiropractic users and nonusers. A 73% response rate was achieved. Satisfaction with chiropractic services is analyzed using both descriptive and multivariate methods.
Satisfaction levels with chiropractic care are quite high (83% of persons are satisfied or very satisfied). High satisfaction is related to several factors, including whether the chiropractor orders and interprets laboratory tests, whether the chiropractor displays concern about patient's overall health, and the extent to which the chiropractor explains the condition and the treatment.
The evidence about the factors that underlie high levels of chiropractic satisfaction is not consistent. Communication quality seems to be a consistent predictor of patient satisfaction with chiropractors. More research is needed to understand the role of perceived effectiveness of treatment, intensity of use, accessibility, and financing issues in determining patient satisfaction levels.
本研究旨在回顾近期关于整脊治疗满意度的文献，并对一项全国家庭调查数据进行多变量分析，以了解治疗和行为的哪些方面对患者对整脊治疗师的满意度贡献最大。
对家庭进行全国性电话调查，以测量整脊治疗使用者和非使用者的态度、利用率及健康行为。获得了73%的回应率。使用描述性和多变量方法分析对整脊服务的满意度。
对整脊治疗的满意度相当高（83%的人满意或非常满意）。高满意度与几个因素有关，包括整脊治疗师是否开具并解读实验室检查结果、整脊治疗师是否表现出对患者整体健康的关注，以及整脊治疗师对病情和治疗的解释程度。
关于整脊治疗高满意度背后因素的证据并不一致。沟通质量似乎是患者对整脊治疗师满意度的一个一致预测因素。需要更多研究来了解治疗的感知有效性、使用强度、可及性和融资问题在决定患者满意度水平方面的作用。
