Research Group on Adolescent Health, Institute of Social and Preventive Medicine, University of Lausanne, Bugnon 17, Lausanne, Switzerland.
Swiss Med Wkly. 2010 Jan 9;140(1-2):18-23. doi: 10.4414/smw.2010.12777.
To assess satisfaction among female patients of a youth-friendly clinic and to determine with which factors this was associated.
A cross-sectional survey was conducted in an adolescent clinic in Lausanne, Switzerland, between March and May 2008. All female patients who had made at least one previous visit were eligible. Three hundred and eleven patients aged 12-22 years were included. We performed bivariate analysis to compare satisfied and non-satisfied patients and constructed a log-linear model.
Ninety-four percent of patients were satisfied. Satisfied female adolescents were significantly more likely to feel that their complaints were heard, that the caregiver understood their problems, to have no change of physician, to have received the correct treatment/help and to follow the caregiver's advice. The log-linear model highlighted four factors directly linked with patient satisfaction: outcome of care, continuity of care, adherence to treatment and the feeling of being understood.
The main point for female adolescent patient satisfaction lies in a long-term, trustworthy relationship with their caregiver. Confidentiality and accessibility were secondary for our patients.
评估少女友好诊所女性患者的满意度，并确定哪些因素与之相关。
2008 年 3 月至 5 月在瑞士洛桑的一家青少年诊所进行了横断面调查。所有至少来过一次的女性患者均符合入选标准。共纳入 311 名 12-22 岁的患者。我们进行了单变量分析以比较满意和不满意的患者，并构建了对数线性模型。
94%的患者满意。满意的少女更有可能觉得她们的抱怨被听到了，医护人员理解她们的问题，没有更换医生，接受了正确的治疗/帮助，并听从了医护人员的建议。对数线性模型突出了与患者满意度直接相关的四个因素：护理结果、护理连续性、治疗依从性和被理解的感觉。
少女患者满意度的主要方面在于与医护人员建立长期、值得信赖的关系。对我们的患者来说，保密性和可及性是次要的。
