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患者特征及与患者满意度相关的质量维度。

Patient characteristics and quality dimensions related to patient satisfaction.

机构信息

Department of Medical and Health Sciences, Linköping University, Sweden.

出版信息

Int J Qual Health Care. 2010 Apr;22(2):86-92. doi: 10.1093/intqhc/mzq009. Epub 2010 Feb 3.

DOI:10.1093/intqhc/mzq009
PMID:20133477
Abstract

OBJECTIVE

To examine the relation of respondents' characteristics, and perceived quality dimensions of health care to overall patient satisfaction in out-patient hospital care.

DESIGN

A questionnaire concerning the perceived quality of health care sent to patients in out-patient medical care.

SETTING

All medical centres in Ostergötland County, Sweden, during a period in 2007.

PARTICIPANTS

Seven thousand two hundred and forty-five patients aged 20 or older responded to the survey and provided their own ratings of the care. Main outcome measure Global patient satisfaction as the overall rating of the encounter at the medical centre. The relation between respondent characteristics, quality dimensions and global satisfaction was examined using linear regression.

RESULTS

Younger patients in emergency care were the least satisfied group (54%) and older patients with excellent health status were the most satisfied group (90%). Patients with perceived better health status and those with less education were more satisfied than those with more education or poorer health status. The two dimensions most strongly positively associated with global satisfaction were receiving the expected medical help and being treated well by the doctor. To wait at the reception without getting information correlated negatively to patient satisfaction, and participation in the medical decision-making correlated positively.

CONCLUSIONS

By using a complete patient population, including all types of medical specialities, we have identified a set of common respondent characteristics and quality dimensions that are related to global satisfaction in out-patient hospital care.

摘要

目的

探讨受访者特征、医疗保健感知质量维度与门诊患者总体满意度之间的关系。

设计

针对门诊医疗保健中患者感知质量的问卷,并发送给门诊患者。

地点

瑞典东约特兰省的所有医疗中心,时间为 2007 年期间。

参与者

7245 名年龄在 20 岁及以上的患者对该调查做出了回应,并对护理情况进行了自我评估。

主要观察指标

将患者对医疗中心就诊的总体评价作为总体满意度。采用线性回归方法检验受访者特征、质量维度与总体满意度之间的关系。

结果

急诊年轻患者满意度最低(54%),健康状况极好的老年患者满意度最高(90%)。与受教育程度更高或健康状况更差的患者相比,健康状况更好和受教育程度较低的患者满意度更高。与总体满意度呈最强正相关的两个维度是得到预期的医疗帮助和医生的良好治疗。在接待处等待时未获得信息与患者满意度呈负相关,而参与医疗决策与满意度呈正相关。

结论

通过使用完整的患者群体,包括所有类型的医疗专科,我们确定了一组与门诊医院护理总体满意度相关的常见受访者特征和质量维度。

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