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黎巴嫩初级医疗保健服务的患者满意度。

Patient satisfaction with primary healthcare services in Lebanon.

机构信息

Primary Healthcare Department, Ministry of Public Health, Beirut, Lebanon.

出版信息

Int J Health Plann Manage. 2019 Jan;34(1):e423-e435. doi: 10.1002/hpm.2659. Epub 2018 Sep 26.

Abstract

BACKGROUND

Reorienting the model of care towards preventive services is integral to successfully move towards a people-centered healthcare system. Patient satisfaction is an essential component of people-centered care and an important quality of care indicator. In its efforts to strengthen primary healthcare, the Ministry of Public Health in Lebanon assessed patient satisfaction with services offered at primary healthcare centers (PHCCs) and explored the relationship between patient satisfaction and patient characteristics and accreditation.

METHODOLOGY

The study followed a cross-sectional design. A survey was administered through phone calls with 1313 patients receiving services as part of a benefits package provided by 59 PHCCs. The survey collected data on patients' sociodemographic characteristics, perceptions, and satisfaction.

RESULTS

Overall, 96.66% of surveyed patients reported being either satisfied (60.23%) or very satisfied (36.43%) with the services provided at the PHCCs. Patients' perceptions of patient-provider communication, healthcare provider competency, and health education quality constituted strong predictors for satisfaction. However, facilities' accreditation status was not associated with satisfaction with PHC services.

CONCLUSION

Patient satisfaction with primary healthcare services in Lebanon was remarkably high. Findings highlighted the need for quality improvement particularly in health education and the alignment of accreditation standards with patient needs and expectations.

摘要

背景

将医疗服务模式重新定位为预防服务,对于成功迈向以患者为中心的医疗体系至关重要。患者满意度是以人为本的医疗服务的重要组成部分,也是医疗质量的重要指标之一。为了加强基层医疗保健,黎巴嫩公共卫生部评估了患者对基层医疗保健中心(PHCC)提供服务的满意度,并探讨了患者满意度与患者特征和认证之间的关系。

方法

该研究采用横断面设计。通过电话访问了 1313 名正在接受 59 个 PHCC 提供的福利套餐服务的患者,进行了一项调查。该调查收集了患者社会人口统计学特征、感知和满意度的数据。

结果

总体而言,96.66%的调查患者表示对 PHCC 提供的服务感到满意(60.23%)或非常满意(36.43%)。患者对医患沟通、医疗保健提供者能力和健康教育质量的感知是满意度的有力预测因素。然而,设施的认证状态与对初级保健服务的满意度无关。

结论

黎巴嫩患者对初级医疗保健服务的满意度非常高。研究结果强调了需要特别在健康教育方面进行质量改进,并使认证标准与患者的需求和期望保持一致。

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