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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.

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。

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