不同级别医院新生儿护理质量的父母满意度：来自越南的证据。
Parental satisfaction with quality of neonatal care in different level hospitals: evidence from Vietnam.
机构信息
Swiss Tropical and Public Health Institute, Basel, Switzerland.
University of Basel, Basel, Switzerland.
出版信息
BMC Health Serv Res. 2020 Mar 20;20(1):238. doi: 10.1186/s12913-020-5070-5.
BACKGROUND
Most health systems provide the most specialized, and presumably also the highest quality of care at a central level. This study assessed parental satisfaction and its determinants in the context of neonatal care in a provincial as well as a national hospital of Vietnam.
METHODS
In this cross-sectional quantitative study, parents of 340 preterm infants admitted to neonatal care units of a national and a provincial hospital in 2018 were interviewed using structured questionnaires. Unadjusted and adjusted linear regression models were used to assess the relationship between parental satisfaction and hospital rank.
RESULTS
The mean parental satisfaction score was 3.74 at the provincial, and 3.56 at the national hospital. These satisfaction differences persisted when parent and child characteristics were adjusted for in multivariate analysis. Longer length of stay and worsening infant health status were associated with parents reporting lower levels of satisfaction with the quality of care being provided at the healthcare facility.
CONCLUSIONS
This study suggests that parents of preterm infants admitted in a provincial hospital were more satisfied with the quality of care received than those in a specialized national hospital. Length of stay and infant health status were the two most important determinants of level of parental satisfaction.
背景
大多数卫生系统在中央一级提供最专业的、也可能是最高质量的医疗服务。本研究评估了越南一家省级医院和一家国家级医院新生儿护理背景下的父母满意度及其决定因素。
方法
在这项横断面定量研究中，2018 年对入住省级和国家级医院新生儿护理病房的 340 名早产儿的父母进行了访谈，使用结构化问卷。采用未调整和调整后的线性回归模型来评估父母满意度与医院级别之间的关系。
结果
省级医院的父母满意度平均得分为 3.74，国家级医院为 3.56。在多变量分析中调整了父母和子女特征后，满意度差异仍然存在。住院时间延长和婴儿健康状况恶化与父母对医疗机构提供的护理质量满意度较低有关。
结论
本研究表明，在省级医院接受治疗的早产儿父母对所接受的护理质量的满意度高于在专门的国家级医院接受治疗的父母。住院时间和婴儿健康状况是父母满意度水平的两个最重要决定因素。
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