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基层医疗保健机构中对医疗保健质量的满意度:2型糖尿病患者的观点

Satisfaction with quality of healthcare at primary healthcare settings: Perspectives of patients with type 2 diabetes mellitus.

作者信息

Steyl Tania

机构信息

Department of Physiotherapy, University of the Western Cape, Cape Town, South Africa.

出版信息

S Afr J Physiother. 2020 Mar 5;76(1):1321. doi: 10.4102/sajp.v76i1.1321. eCollection 2020.

Abstract

BACKGROUND

Measuring client satisfaction is part of the quality assurance process and has become an integral part of healthcare management strategies globally. It is essential for improvement of amenities in healthcare facilities.

OBJECTIVES

The aim of this study was to assess patients with type 2 diabetes' satisfaction with healthcare services at primary healthcare settings in the Cape Metropolitan district, Western Cape, South Africa.

METHODS

This cross-sectional study used proportionate stratified random sampling. The Patient Survey for Quality of Care scale was used to assess patients with type 2 diabetes' satisfaction with quality of care received. Descriptive and inferential statistics were employed in the analysis of the quantitative data. The open-ended question was analysed qualitatively.

RESULTS

The majority of patients were satisfied with the overall quality of care. Dissatisfaction was reported for waiting time to get appointments at the clinic, to see a healthcare professional on the same day and clarity of instructions for managing their diabetes.

CONCLUSION

Employing more staff in the multidisciplinary team and improving health information by developing staff through continuous education could foster more positive experiences and provide care that contributes to the well-being of patients.

CLINICAL IMPLICATIONS

Addressing patients' views regarding quality of healthcare services could assist in overall improvement of healthcare provision through the rectification of the system weaknesses. Satisfaction with quality of care could positively affect adherence to treatment protocols that could lead to better quality of life of patients with type 2 diabetes.

摘要

背景

衡量客户满意度是质量保证过程的一部分,并且已成为全球医疗管理策略的一个组成部分。这对于改善医疗机构的设施至关重要。

目的

本研究的目的是评估南非西开普省开普都会区基层医疗环境中2型糖尿病患者对医疗服务的满意度。

方法

本横断面研究采用按比例分层随机抽样。使用患者护理质量调查问卷来评估2型糖尿病患者对所接受护理质量的满意度。在定量数据分析中采用描述性和推断性统计方法。对开放式问题进行定性分析。

结果

大多数患者对总体护理质量感到满意。报告称对在诊所预约的等待时间、当天见到医疗专业人员以及糖尿病管理指导的清晰度不满意。

结论

在多学科团队中增加工作人员,并通过持续教育培养工作人员来改善健康信息,这可能会带来更多积极的体验,并提供有助于患者福祉的护理。

临床意义

解决患者对医疗服务质量的看法有助于通过纠正系统弱点全面改善医疗服务提供。对护理质量的满意度可能会对遵循治疗方案产生积极影响,从而改善2型糖尿病患者的生活质量。

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