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在吉达普通外科环境中测量患者满意度及其影响因素。

Measuring Patient Satisfaction and Factors Affecting it in the General Surgery Setting in Jeddah.

作者信息

Almehman Bassel A, Mikwar Zaher, Balkhy Atheel, Jabali Heyam, Hariri Bassam S, Baatiah Nada Y

机构信息

General Surgery, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Surgical Oncology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.

出版信息

Cureus. 2019 Dec 28;11(12):e6497. doi: 10.7759/cureus.6497.

Abstract

Introduction A patient-centered approach is critical to improving the overall quality of healthcare, and this also applies to the general surgery setting. To achieve this, it is important to assess patient satisfaction with healthcare, but this topic has not been investigated in the context of Jeddah. Therefore, the present study is the first one to assess patient satisfaction with care in the general surgery department and associated factors in Jeddah. Methods This was a descriptive, cross-sectional study that used a convenience sampling technique to select 307 patients from the outpatient clinic of the general surgery department at King Abdulaziz Medical City from November to December 2018. The cohort comprised 53.1% women and the age range was 18-70 years. For data collection, we used the Short Assessment of Patient Satisfaction questionnaire, which contains seven items related to the core domains of patient satisfaction. We modified this by adding two additional items reported in other studies. We also included age, gender, and level of education as variables in the analysis. The scores assigned to each item were compared based on gender, age, and level of education. Results The analysis showed that age, gender, or level of education did not affect the overall satisfaction level, and the majority of participants (93.8%) reported that they were satisfied or very satisfied. Specifically, the majority reported that they were satisfied or very satisfied with the treatment effect, the explanation provided by the clinician, and the care provided at the clinic. Further, the majority of them also felt that they had received a thorough examination and enough time with the consultant, that they felt respected by the healthcare provider and their concerns were heard and respected, and that they were encouraged to voice their feelings and concerns. The lowest score was related to whether the participants felt like their choices were considered when it came to making healthcare decisions. This could, therefore, be a potential area of improvement. Conclusion Overall, the current findings indicate that the practitioners in the current setting use a patient-centered, adult-to-adult approach to healthcare, and the patients are highly satisfied. One area of improvement could be medical decision-making, where patients' preference could be given more consideration. Thus, these findings provide important insight into patient-centered care in this region.

摘要

引言 以患者为中心的方法对于提高整体医疗质量至关重要,这同样适用于普通外科领域。要实现这一点,评估患者对医疗服务的满意度很重要,但在吉达的背景下尚未对此主题进行研究。因此,本研究是首个评估吉达普通外科患者对护理的满意度及相关因素的研究。

方法 这是一项描述性横断面研究,采用便利抽样技术,从2018年11月至12月在阿卜杜勒阿齐兹国王医疗城普通外科门诊中选取307名患者。该队列中女性占53.1%,年龄范围为18至70岁。为收集数据,我们使用了患者满意度简短评估问卷,该问卷包含与患者满意度核心领域相关的七个项目。我们通过添加其他研究中报告的另外两个项目对其进行了修改。我们还将年龄、性别和教育程度作为变量纳入分析。根据性别、年龄和教育程度对每个项目的得分进行比较。

结果 分析表明,年龄、性别或教育程度不会影响总体满意度水平,大多数参与者(93.8%)报告称他们感到满意或非常满意。具体而言,大多数人报告称他们对治疗效果、临床医生提供的解释以及诊所提供的护理感到满意或非常满意。此外,他们中的大多数人还觉得他们接受了全面的检查,与顾问有足够的时间交流,他们感到受到医疗服务提供者的尊重,他们的担忧得到了倾听和尊重,并且他们被鼓励表达自己的感受和担忧。得分最低的项目与参与者在做出医疗决策时是否觉得自己的选择被考虑有关。因此,这可能是一个潜在的改进领域。

结论 总体而言,当前研究结果表明,当前环境中的从业者采用以患者为中心、成人对成人的医疗方法,患者满意度很高。一个可以改进的领域可能是医疗决策,在这方面可以更多地考虑患者的偏好。因此,这些发现为该地区以患者为中心的护理提供了重要见解。

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本文引用的文献

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Association between surgical patient satisfaction and nonmodifiable factors.
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Who is satisfied with general surgery clinic visits?
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