在中国，患者对医疗服务提供、医疗服务评估和对卫生保健系统信任的满意度对患者生活满意度的影响。
The influences of patient's satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient's life satisfaction in China.
机构信息
Department of Economics, School of Economics and Management, Tsinghua University, Beijing, 100084, China.
出版信息
Health Qual Life Outcomes. 2012 Sep 14;10:111. doi: 10.1186/1477-7525-10-111.
BACKGROUND
Patient's satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient's life satisfaction in China's health delivery system/in various kinds of hospitals.The aim of this study was to test whether and to what extent patient's satisfaction with medical service delivery/patient's assessments of various major aspects of medical service/various major aspects of patient's trust in health delivery system influenced patient's life satisfaction in China's health delivery system/in various kinds of hospitals.
METHODS
This study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17 provinces, autonomous regions, and municipalities directly under the central government (N = 3,386), and specified ordered probit models were established to analyze dataset from this household survey.
RESULTS
The key considerations in generating patient's life satisfaction involved patient's overall satisfaction with medical service delivery, assessment of doctor-patient communication, assessment of medical cost, assessment of medical treatment process, assessment of medical facility and hospital environment, assessment of waiting time for medical service, trust in prescription, trust in doctor, and trust in recommended medical examination. But the major considerations in generating patient's life satisfaction were different among low level public hospital, high level public hospital, and private hospital.
CONCLUSION
The promotion of patient's overall satisfaction with medical service delivery, the improvement of doctor-patient communication, the reduction of medical cost, the improvement of medical treatment process, the promotion of medical facility and hospital environment, the reduction of waiting time for medical service, the promotion of patient's trust in prescription, the promotion of patient's trust in doctor, and the promotion of patient's trust in recommended medical examination could all help promote patient's life satisfaction. But their promotion effects were different among low level public hospital, high level public hospital, and private hospital.
背景
患者对医疗服务提供/医疗服务评估/对卫生服务提供系统的信任，可能对中国卫生服务提供系统/各种医院中的患者生活满意度有重大影响。本研究旨在检验患者对医疗服务提供的满意度/患者对医疗服务各主要方面的评估/对卫生服务提供系统各主要方面的信任，是否以及在何种程度上影响中国卫生服务提供系统/各种医院中的患者生活满意度。
方法
本研究与中国国家统计局合作，在 17 个省、自治区和直辖市进行了 2008 年全国城镇居民家庭调查（N=3386），并建立了特定的有序概率模型来分析该家庭调查数据集。
结果
产生患者生活满意度的关键考虑因素包括患者对医疗服务提供的总体满意度、医患沟通评估、医疗费用评估、医疗处理过程评估、医疗设施和医院环境评估、医疗服务等待时间评估、对处方的信任、对医生的信任和对推荐的医学检查的信任。但在基层公立医院、高水平公立医院和私立医院中，产生患者生活满意度的主要考虑因素有所不同。
结论
提高患者对医疗服务提供的总体满意度、改善医患沟通、降低医疗费用、改善医疗处理过程、促进医疗设施和医院环境、减少医疗服务等待时间、提高患者对处方的信任、提高患者对医生的信任以及提高患者对推荐的医学检查的信任，都有助于提高患者的生活满意度。但它们在基层公立医院、高水平公立医院和私立医院中的促进效果有所不同。
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