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公平性、可及性和价格与初级医疗保健用户满意度的关联。

The association of equity, accessibility, and price with primary healthcare user's satisfaction.

作者信息

Lobo Alexandrina, Duarte Paulo, Carvalho Amâncio, Rodrigues Vitor, Monteiro Maria João, Alves Helena

机构信息

1Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado, Chaves, Portugal.

出版信息

West J Nurs Res. 2014 Feb;36(2):191-208. doi: 10.1177/0193945913497830. Epub 2013 Aug 1.

Abstract

The assessment of user satisfaction, and the knowledge of what factors influence satisfaction are very important for the improvement of services' quality provided. This study aims to evaluate user satisfaction with primary healthcare services. A sample of 6,113 healthcare services users was interviewed to evaluate satisfaction and determine a global satisfaction index using a Partial Least Squares Path Model. The global user satisfaction index with healthcare centers is 58.4 points on a 100-point scale, showing that users are only moderately satisfied with the service provided. The results show that the medical care and the price of services are the main predictors of user satisfaction. Other factors such as the perception of health equity and nursing services also seem to be important contributors to satisfaction. A more disturbing result is the negative relationship between perceived accessibility and satisfaction, which requires further research.

摘要

评估用户满意度以及了解哪些因素会影响满意度,对于提高所提供服务的质量非常重要。本研究旨在评估用户对初级医疗服务的满意度。对6113名医疗服务用户进行了访谈,以评估满意度,并使用偏最小二乘路径模型确定总体满意度指数。医疗中心的总体用户满意度指数在100分制中为58.4分,表明用户对所提供的服务只是中等满意。结果表明,医疗护理和服务价格是用户满意度的主要预测因素。其他因素,如对健康公平性的认知和护理服务,似乎也是满意度的重要影响因素。一个更令人不安的结果是,感知到的可及性与满意度之间存在负相关关系,这需要进一步研究。

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