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经济危机期间希腊接受公共和私人外科手术服务患者的概况:一项比较研究。

The profile of patients receiving public and private surgical services in Greece during the economic crisis: a comparative study.

作者信息

Schizas Dimitrios, Michalinos Adamantios, Kanavidis Prodromos, Karaolanis Georgios, Lidoriki Irene, Sioulas Athanasios D, Moris Dimitrios

机构信息

The First Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Department of Gastroenterology, Hygeia Hospital, Athens, Greece.

出版信息

Ann Transl Med. 2019 Jan;7(1):5. doi: 10.21037/atm.2018.12.07.

Abstract

BACKGROUND

International experience has shown that deterioration of healthcare services is a common consequence of socio-economic crises. Exact mechanism of this deterioration varies with respect to particularities of each healthcare system, government and administrative policies and local epidemiological conditions. The aim of the present study was to evaluate the effect of Greek economic crisis on the profile and the satisfaction rates of patients seeking surgical services in public and private hospitals.

METHODS

A questionnaire-based survey concerning healthcare quality and patients' satisfaction was conducted at a private and a public (university) hospital. Patient demographics alongside with patient satisfaction before and after treatment were quantified and compared.

RESULTS

Significant differences between private and public sector patients were found concerning nationality, socio-economic status and medical conditions. Private sector patients are younger, of a higher socio-economic status and admitted for elective rather than urgent medical conditions. Patient expectations before treatment are lower for public sector concerning a variety of markers but patient satisfaction is similar.

CONCLUSIONS

Even in the years of financial crisis, Greek patients seem to be satisfied by the quality of the healthcare services in both public and private hospitals. Despite the limitations of our study regarding the selection of the population, we believe that the findings might generate more meticulous research on the field hoping that juxtaposed discussions will sensitize policy makers.

摘要

背景

国际经验表明,医疗服务恶化是社会经济危机的常见后果。这种恶化的确切机制因每个医疗体系、政府和行政政策以及当地流行病学状况的特殊性而有所不同。本研究的目的是评估希腊经济危机对公立和私立医院寻求手术服务的患者概况及满意度的影响。

方法

在一家私立医院和一家公立(大学)医院进行了一项基于问卷的关于医疗质量和患者满意度的调查。对患者人口统计学数据以及治疗前后的患者满意度进行了量化和比较。

结果

在国籍、社会经济地位和医疗状况方面,私立和公立部门的患者存在显著差异。私立部门的患者更年轻,社会经济地位更高,因择期而非紧急医疗状况入院。公立部门患者在治疗前对各种指标的期望较低,但患者满意度相似。

结论

即使在金融危机年份,希腊患者似乎对公立和私立医院的医疗服务质量都感到满意。尽管我们的研究在人群选择方面存在局限性,但我们相信这些发现可能会促使该领域开展更细致的研究,希望并列讨论能引起政策制定者的关注。

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