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本文引用的文献

1
Is patient-centered care the same as person-focused care?以患者为中心的护理与以人为本的护理相同吗？
Perm J. 2011 Spring;15(2):63-9. doi: 10.7812/TPP/10-148.
2
Progress of Ontario's Family Health Team model: a patient-centered medical home.安大略省家庭健康团队模式的进展：以患者为中心的医疗之家。
Ann Fam Med. 2011 Mar-Apr;9(2):165-71. doi: 10.1370/afm.1228.
3
Advanced access scheduling.高级访问调度
Fam Med. 2009 Jul-Aug;41(7):462-4; author reply 463-4.
4
Advanced access in academic settings: definitional challenges.学术环境中的高级访问：定义挑战。
Ann Fam Med. 2009 Jan-Feb;7(1):90-1. doi: 10.1370/afm.953.
5
Same-day booking: success in a Canadian family practice.当日预约：加拿大一家家庭诊所的成功经验
Can Fam Physician. 2008 Mar;54(3):379-83.
6
Continuity of care and patient satisfaction in a family practice clinic.家庭医疗诊所中的连续性护理与患者满意度
J Am Board Fam Pract. 2004 Sep-Oct;17(5):341-6. doi: 10.3122/jabfm.17.5.341.
7
Race/ethnicity and patient satisfaction. Using the appropriate method to test for perceived differences in care.种族/民族与患者满意度。运用适当方法检测护理方面的感知差异。
J Gen Intern Med. 2004 Sep;19(9):937-43. doi: 10.1111/j.1525-1497.2004.30415.x.
8
Continuity of care: a multidisciplinary review.连续性护理：多学科综述。
BMJ. 2003 Nov 22;327(7425):1219-21. doi: 10.1136/bmj.327.7425.1219.
9
Towards a theory of continuity of care.迈向连续性护理理论。
J R Soc Med. 2003 Apr;96(4):160-6. doi: 10.1177/014107680309600402.
10
Setting standards based on patients' views on access and continuity: secondary analysis of data from the general practice assessment survey.基于患者对就医机会和连续性看法制定标准：来自全科医疗评估调查数据的二次分析
BMJ. 2003 Feb 1;326(7383):258. doi: 10.1136/bmj.326.7383.258.

多学科学术性家庭医学诊所中患者对医疗服务可及性和连续性的满意度。

Patient satisfaction with access and continuity of care in a multidisciplinary academic family medicine clinic.

作者信息

Wetmore Stephen, Boisvert Leslie, Graham Esther, Hall Susan, Hartley Tim, Wright Lynda, Hammond Jo-Anne, Ings Holly, Lent Barbara, Pawelec-Brzychczy Anna, Valiquet Stacey, Wickett Jamie, Willing Joanne

机构信息

Department of Family Medicine, University of Western Ontario, 1008-Western Centre for Public Health and Family Medicine, 1151 Richmond St, London, ON N6A 5C1.

出版信息

Can Fam Physician. 2014 Apr;60(4):e230-6.

PMID:24733343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4046539/
Abstract

OBJECTIVE

To determine patient satisfaction with care provided at a family medicine teaching clinic.

DESIGN

Mailed survey.

SETTING

Victoria Family Medical Centre in London, Ont.

PARTICIPANTS

Stratified random sample of 600 regular patients of the clinic aged 18 years or older; 301 responses were received.

MAIN OUTCOME MEASURES

Patient satisfaction with overall care, wait times for appointments, contact with physicians, and associated demographic factors. Logistic regression analysis and analysis were used to determine the significance of factors associated with satisfaction.

RESULTS

The response rate was 50%. Overall, 88% of respondents were fairly, very, or completely satisfied with care. Older patients tended to be more satisfied. Patients who were less satisfied had longer wait times for appointments (P < .001) and reduced continuity with specific doctors (P = .004). More satisfied patients also felt connected through other members of the health care team.

CONCLUSION

Patients were generally satisfied with the care provided at the family medicine teaching clinic. Older patients tended to be more satisfied than younger patients. Points of dissatisfaction were related to wait times for appointments and continuity with patients' usual doctors. These findings support the adoption of practices that reduce wait times and facilitate continuity with patients' usual doctors and other regular members of the health care team.

摘要

目的

确定患者对一家家庭医学教学诊所提供的护理服务的满意度。

设计

邮寄调查问卷。

地点

安大略省伦敦市的维多利亚家庭医疗中心。

参与者

该诊所600名18岁及以上的普通患者的分层随机样本；共收到301份回复。

主要观察指标

患者对整体护理、预约等待时间、与医生的接触以及相关人口统计学因素的满意度。采用逻辑回归分析来确定与满意度相关因素的显著性。

结果

回复率为50%。总体而言，88%的受访者对护理服务相当满意、非常满意或完全满意。老年患者往往更满意。满意度较低的患者预约等待时间更长（P < .001），与特定医生的连续性较差（P = .004）。更满意的患者也感觉与医疗团队的其他成员有联系。

结论

患者对家庭医学教学诊所提供的护理服务总体上感到满意。老年患者往往比年轻患者更满意。不满意的方面与预约等待时间以及与患者的常规医生的连续性有关。这些发现支持采用一些做法来减少等待时间，并促进与患者的常规医生及医疗团队其他常规成员的连续性。