Chan S K K, Wong I O L, Tin K Y K, Fung A, Johnston J M, Leung Gabriel M
School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Qual Saf Health Care. 2010 Jun;19(3):173-81. doi: 10.1136/qshc.2007.026013. Epub 2010 Feb 1.
To measure self-reported inpatient experience in Hong Kong.
Data were derived from the 2005 Thematic Household Survey.
24,364 non-institutional and 3390 institutionalised respondents aged at least 18 years systematically drawn to represent the Hong Kong adult population, 6.9% of whom were admitted at least once as an inpatient during the previous 12 months. Data from this group was analysed.
Picker Patient Experience Questionnaire-15.
Overall, respondents scored their last inpatient episode 39.6 (range=0-100, the lower the score, the better the patient experience). Patients who sought care from private hospitals reported a lower Picker Patient Experience Questionnaire-15 score than those cared for in public facilities (31.1 vs 41.8 respectively, p<0.001). We observed substantial differences between public hospital geographic clusters that were confirmed by multivariable regression. When benchmarked against the UK, Germany and the USA, Hong Kong patients tended to report a significantly higher number of problems.
We found systematic differences between the level of satisfaction and type of problems reported by Hong Kong Chinese compared to those in Euro-American settings. The observed heterogeneities among different public hospitals, between the private and public sectors, and among subgroups of inpatients should provide an evidence based on which quality improvement initiatives can be designed and evaluated.
衡量香港地区自我报告的住院患者体验。
数据源自2005年主题性住户统计调查。
24364名非住院受访者和3390名住院受访者，年龄均在18岁及以上，这些受访者是经过系统抽取以代表香港成年人口，其中6.9%的人在过去12个月内至少有一次住院经历。对该组数据进行了分析。
Picker患者体验问卷-15。
总体而言，受访者对其上次住院经历的评分是39.6分（范围为0至100分，分数越低，患者体验越好）。在私立医院接受治疗的患者报告的Picker患者体验问卷-15得分低于在公立医院接受治疗的患者（分别为31.1分和41.8分，p<0.001）。我们观察到公立医院地理区域之间存在显著差异，这在多变量回归分析中得到了证实。与英国、德国和美国相比，香港患者报告存在问题的数量往往显著更多。
我们发现，与欧美地区相比，中国香港地区患者报告的满意度水平和问题类型存在系统性差异。在不同公立医院之间、私立和公立部门之间以及住院患者亚组之间观察到的异质性，应能为设计和评估质量改进举措提供依据。
