Mortsiefer Achim, Altiner Attila, Ernst Annette, Kadusziewicz Hanna, Krahe Alice, Mellert Christine, Schäfer Ingmar, Stolzenbach Carl-Otto, Wiese Birgitt, Löffler Christin
Medical Faculty, Institute of General Practice, Heinrich-Heine University Düsseldorf,Düsseldorf, Germany.
Medical Faculty, Institute of General Practice, University of Rostock,Rostock, Germany.
Fam Pract. 2017 Aug 1;34(4):452-458. doi: 10.1093/fampra/cmw141.
Little is known about the quality of general practice care received by patients suffering from multimorbidity.
To assess how patients with multimorbidity evaluate their General Practitioners (GPs') performance and to identify factors associated with high patient satisfaction levels.
Cross-sectional study in Germany using the EUROPEP questionnaire consisting of 23 items with a five-point Likert scale and covering two dimensions: clinical performance of the GP and organisation of care. Mixed logistic regression was used in the analysis, with the EUROPEP score as a dependent variable.
The study included 651 patients (54.8% female), with a mean age of 73.7 ± 4.9 years. Of 22 of 23 questionnaire items, >80% of patients rated their satisfaction as 'good' or 'excellent'. The highest level of satisfaction (excellent) varied among items between 28.0 and 73.1%. Lower age and female sex of GPs were associated with better patient evaluations in 15 and 12 of the 23 items, respectively. Patient characteristics were not associated with their satisfaction with their GP.
This study found high levels of satisfaction with primary care in patients with multimorbidity. However, since high levels of patient satisfaction are not necessarily equivalent to high quality of care, a broader view is necessary to integrate the subjective views of patients and objective quality indicators into a comprehensive concept of good quality of care.
对于患有多种疾病的患者所接受的全科医疗服务质量，人们了解甚少。
评估患有多种疾病的患者如何评价他们的全科医生（GP）的表现，并确定与患者高满意度相关的因素。
在德国进行的一项横断面研究，使用由23个项目组成的欧洲全科医疗患者满意度调查问卷（EUROPEP），采用五点李克特量表，涵盖两个维度：全科医生的临床表现和护理组织。分析中使用混合逻辑回归，将EUROPEP得分作为因变量。
该研究纳入了651名患者（54.8%为女性），平均年龄为73.7±4.9岁。在23个问卷项目中的22个项目中，超过80%的患者将他们的满意度评为“好”或“优秀”。各项目中最高满意度（优秀）在28.0%至73.1%之间变化。全科医生年龄较小和为女性，分别在23个项目中的15个和12个项目中与患者的更好评价相关。患者特征与他们对全科医生的满意度无关。
本研究发现患有多种疾病的患者对初级医疗服务的满意度较高。然而，由于高患者满意度不一定等同于高质量的医疗服务，有必要从更广泛的角度将患者的主观观点和客观质量指标纳入优质医疗服务的综合概念中。
