Van Huy Nguyen, Dung Nguyen Ngoc, Thang Cao Duc, Hanh Le Thuy
Department of Health Management and Organization, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Int J Health Plann Manage. 2018 Jan;33(1):e251-e262. doi: 10.1002/hpm.2449. Epub 2017 Sep 11.
Little is known about how patients in developing countries, such as Vietnam, are satisfied with eye care services. The purpose of this study was to assess the satisfaction with health services and its associated factors among patients attending a national institute of ophthalmology in Vietnam. In a cross-sectional study utilizing quantitative methods, 500 inpatients and their relatives attending a national institute of ophthalmology in Vietnam were approached for data collection. The results indicated that under 50% of the patients were satisfied with eye care services. However, when classified by level of satisfaction, only 6.8% were very satisfied with all domains of care. There was no significant difference in satisfaction by gender and income, while significant differences by department, residence, and education were found. Patients who were from rural areas, were better educated, and used the services of the glaucoma department, were more satisfied with eye care than those from urban areas, were less educated, and used the services of treatment-on-demand department. Multivariable regression detected 2 main factors, gender and location, associated with patient satisfaction. Patients who were female and came from rural and remote areas were more likely to be satisfied than patients who were male and living in urban areas. The study suggests that to continue to improve health care quality, it is important to eliminate differences in providing eye care services regardless of whether patients are male or female, and whether they come from a rural or urban area.
对于越南等发展中国家的患者如何看待眼科护理服务，人们了解甚少。本研究旨在评估越南一家国立眼科研究所的患者对医疗服务的满意度及其相关因素。在一项采用定量方法的横断面研究中，研究人员联系了越南一家国立眼科研究所的500名住院患者及其亲属以收集数据。结果显示，不到50%的患者对眼科护理服务感到满意。然而，按满意度水平分类时，只有6.8%的患者对所有护理领域都非常满意。性别和收入对满意度没有显著差异，但科室、居住地和教育程度存在显著差异。来自农村地区、受教育程度较高且使用青光眼科室服务的患者，比来自城市地区、受教育程度较低且使用按需治疗科室服务的患者对眼科护理更满意。多变量回归分析发现，与患者满意度相关的两个主要因素是性别和地点。女性以及来自农村和偏远地区的患者比男性以及居住在城市地区的患者更有可能感到满意。该研究表明，为持续提高医疗质量，无论患者是男性还是女性，来自农村还是城市，消除眼科护理服务提供方面的差异都很重要。
