Al-Sakkak Maher A, Al-Nowaiser Noura A, Al-Khashan Hesham I, Al-Abdrabulnabi Ashraf A, Jaber Rana M
Family Medicine Department, Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2008 Mar;29(3):432-6.
To assess the level of patients' satisfaction with primary health care PHC services in health centers affiliated to Riyadh Military Hospital RMH, Riyadh, Kingdom of Saudi Arabia.
A cross-sectional study was conducted in 3 PHC centers, affiliated to Riyadh Military Hospital RMH, Riyadh, Kingdom of Saudi Arabia, over 2 months period in 2006, data was collected using a self-administered questionnaire to assess patients' overall satisfaction with PHC services and their level of satisfaction with 5 PHC domains: reception services, accessibility, continuity of care, communication, and enablement.
Seven hundred questionnaires were distributed yielding 86.6% response rate, 39.6% of our patients were 20-30 years old, 51.5% of the respondents were females, 76.4% were married and 34.5% of them showed a medical visit frequency of a minimum of 8 times per year. The domains of PHC with the highest level of reported satisfaction was enablement (70.6%). The poorest level of satisfaction was at the continuity of care (56.3%). The mean score of satisfaction with reception was 70.0%, communication 69.2%, and accessibility to care was 62.4%. The overall satisfaction level was 64.2%. Patients of older age were more satisfied with PHC services than their younger counterparts (p-value<0.001) and patients with lower education level were more satisfied (p-value<0.001). Patients' satisfaction was inversely related to their average annual visit frequency to PHC centers (p-value =0.015). There was no relation found between patients' satisfaction and their gender, marital status, occupational status, and their average monthly income.
The level of satisfaction with PHC services in health centers affiliated to RMH is relatively low, results identified areas in which quality improvement is required, mainly accessibility and continuity of care.
评估沙特阿拉伯王国利雅得市利雅得军事医院（RMH）下属健康中心的患者对初级卫生保健（PHC）服务的满意度水平。
2006年，在沙特阿拉伯王国利雅得市利雅得军事医院下属的3个初级卫生保健中心进行了一项横断面研究，为期2个月。使用自填式问卷收集数据，以评估患者对初级卫生保健服务的总体满意度及其对5个初级卫生保健领域的满意度水平：接待服务、可及性、医疗连续性、沟通和赋能。
共发放700份问卷，回复率为86.6%。39.6%的患者年龄在20至30岁之间，51.5%的受访者为女性，76.4%已婚，其中34.5%的人每年就诊次数至少为8次。报告满意度最高的初级卫生保健领域是赋能（70.6%）。满意度最低的是医疗连续性（56.3%）。接待方面的平均满意度得分为70.0%，沟通方面为69.2%，获得医疗服务的可及性为62.4%。总体满意度水平为64.2%。年龄较大的患者对初级卫生保健服务的满意度高于年轻患者（p值<0.001），教育水平较低的患者满意度更高（p值<0.001）。患者的满意度与他们每年到初级卫生保健中心的平均就诊频率呈负相关（p值=0.015）。未发现患者满意度与他们的性别、婚姻状况、职业状况及平均月收入之间存在关联。
RMH下属健康中心对初级卫生保健服务的满意度水平相对较低，结果确定了需要改进质量的领域，主要是可及性和医疗连续性。
