Al-Doghaither A H, Abdelrhman B M, Saeed A A, Al-Kamil A A, Majzoub M M
College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
J Family Community Med. 2001 Sep;8(3):59-65.
Assessment of patient satisfaction offers a way of optimizing health status and prevents waste of medical resources. The direct measurement of patient satisfaction is a new phenomenon in Kuwait.
Assess patient satisfaction with respect to primary health care services and study any patterns of association of sociodemographic variables on the patient satisfaction level.
The sample consisted of 301 patients selected systematically from five primary health care centers to represent various geographic areas in Kuwait City. Just over 56% of the sample were females, 59% were married, the great majority (70.4%) were government employees, more than 60% had a monthly income of less than 900 KD, more than 54% were intermediate and high secondary school graduates, and 37% were university graduates or had advanced degrees. The data was collected by personal interview using structured questionnaire.
The overall mean satisfaction was 3.1 points out of five (62%). The mean satisfaction scores were 3.64, 3.29, 3.08, 3.05, 2.21 for laboratory, pharmacy, radiology, dental and physician services, respectively. The highest mean score for physician services was obtained for communication skills (2.23); for pharmacy services, the availability of medicine (4.01); for laboratory services, the availability of lab materials (3.73); for radiology services, the waiting time for x-ray (3.60); and for dental services, the adequacy of dentists (3.27). The results indicated that gender, income, marital status and occupation were the most consistent demographic predictors of satisfaction, with females, those with lower income, lower education levels and the unemployed having higher mean satisfaction scores.
There is a need for corrective intervention in some service areas and for an educational program to inform patients of the objectives and limitations of primary health services.
评估患者满意度为优化健康状况及防止医疗资源浪费提供了一种途径。在科威特,直接测量患者满意度是一种新现象。
评估患者对初级卫生保健服务的满意度,并研究社会人口统计学变量与患者满意度水平之间的关联模式。
样本由从五个初级卫生保健中心系统选取的301名患者组成,以代表科威特城的不同地理区域。样本中略多于56%为女性,59%已婚,绝大多数(70.4%)为政府雇员,超过60%的人月收入低于900科威特第纳尔,超过54%为初高中毕业生,37%为大学毕业生或拥有更高学位。数据通过使用结构化问卷的个人访谈收集。
总体平均满意度为满分五分中的3.1分(62%)。实验室、药房、放射科、牙科和医生服务的平均满意度得分分别为3.64、3.29、3.08、3.05、2.21。医生服务的最高平均得分来自沟通技巧(2.23);药房服务方面,药品可及性(4.01);实验室服务方面,实验室材料可及性(3.73);放射科服务方面,X光检查等待时间(3.60);牙科服务方面,牙医充足性(3.27)。结果表明,性别、收入、婚姻状况和职业是满意度最一致的人口统计学预测因素,女性、低收入者、低教育水平者和失业者的平均满意度得分更高。
在一些服务领域需要进行纠正性干预,并开展一项教育计划,向患者告知初级卫生服务的目标和局限性。