Maślach Dominik, Karczewska Bogusława, Szpak Andrzej, Charkiewicz Angelika, Krzyżak Michalina
Department of Public Health, Faculty of Health Sciences, Medical University of Bialystok, Poland.
Department of Epidemiology and Biostatistics, Institute of Rural Health, Lublin, Poland.
Ann Agric Environ Med. 2020 Mar 17;27(1):86-90. doi: 10.26444/aaem/116574. Epub 2020 Jan 31.
Measuring the level of patient satisfaction is a useful tool in delivering quality care that is responsive to consumer preferences. Various socio-demographic factors might be considered as potential predictors of patient satisfaction. The aim of the study was to assess whether place of residence (rural/urban) affects patient satisfaction with hospital health care.
Data were obtained using face-to-face questionnaire, administered in five large, urban hospitals in Podlaskie Province, north-eastern Poland, during 2014-2018. The study sample comprised of 1,624 participants (585 rural, 1039 urban) who assessed satisfaction with 28 hospital health care items. The means and standard deviations were presented to compare 28 satisfaction items between the rural and the urban samples. Regression analysis was used to determine whether location difference (rural vs urban) affected patient satisfaction with various domains of hospital health care.
The mean results of 28 satisfaction items on the 1-5 scale were similar among the rural and the urban samples, and generally skewed towards positive experiences. In the univariate analysis, significant associations between place of residence and patient satisfaction were identified with regard to three components of inpatient care: 1) hospital settings and staff care, 2) doctors' professional skills, and 3) hospitalization outcomes. After adjusting for socio-demographic variables, the association remained significant only with respect to satisfaction with hospitalization outcomes (b = 0.121; SE = 0.055; p = 0.028).
Some evidence for differences in patient satisfaction by place of residence was found. Study findings may be helpful in implementing care quality improvement programmes.
衡量患者满意度是提供符合消费者偏好的优质护理的有用工具。各种社会人口因素可能被视为患者满意度的潜在预测指标。本研究的目的是评估居住地点（农村/城市）是否会影响患者对医院医疗服务的满意度。
2014年至2018年期间，在波兰东北部波德拉谢省的五家大型城市医院，通过面对面问卷调查收集数据。研究样本包括1624名参与者（585名农村居民，1039名城市居民），他们对28项医院医疗服务项目的满意度进行了评估。给出均值和标准差以比较农村和城市样本之间的28项满意度项目。采用回归分析来确定位置差异（农村与城市）是否会影响患者对医院医疗服务各个领域的满意度。
农村和城市样本在1 - 5分制的28项满意度项目的平均结果相似，且总体倾向于积极体验。在单因素分析中，就住院护理的三个组成部分确定了居住地点与患者满意度之间的显著关联：1）医院环境和医护人员护理，2）医生的专业技能，以及3）住院结果。在对社会人口变量进行调整后，仅在住院结果满意度方面的关联仍然显著（b = 0.121；标准误 = 0.055；p = 0.028）。
发现了一些关于居住地点导致患者满意度存在差异的证据。研究结果可能有助于实施护理质量改进计划。
