Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, R.O.C.
Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan, R.O.C.
J Altern Complement Med. 2020 Dec;26(12):1151-1158. doi: 10.1089/acm.2020.0143. Epub 2020 Sep 18.
Health system responsiveness is a complicated issue that guides researchers in determining an efficient methodology to enhance the understanding of health care systems' perspectives. This study examined the relationship between patients' experience profiles and their satisfaction with medical outcomes. The authors used 11 items from the Taiwanese Annual National Health Insurance survey and used latent class analysis (LCA) to develop experience profiles for 2012 Traditional Chinese Medicine (TCM) patients. A logistic regression model was developed to explore differences in patients' satisfaction with their treatment outcome across four groups identified using the LCA, with adjustment for demographic factors. Patients' experiences with medical services in TCM in 2015. Patients' satisfaction with their treatment outcome. Participants ( = 2012) were divided into four groups. Regardless of gender and age, Group 2 (nall) held the lowest satisfaction with treatment outcome relative to those reported by the other three groups (odds ratios with -value: Group 1 [pall]: 7.40, Group 3 [nComm]: 1.37, Group 4 [Skip]: 2.20, < 0.001). Respondents with a more favorable patient experience reported higher satisfaction with treatment outcome. An increased favorable treatment experience in TCM (such as positive accessibility and better interpersonal relationships with providers) is associated with higher satisfaction with treatment outcome. The World Health Organization emphasizes that traditional medicine integrated with Western medicine can play an important role in achieving the goal of "Health for All." Health authorities should develop strategies aimed at enhancing patients' experiences in TCM to contribute to a positive care process.
卫生系统反应性是一个复杂的问题，指导研究人员确定一种有效的方法来增强对医疗保健系统观点的理解。本研究考察了患者体验特征与对医疗结果满意度之间的关系。作者使用了来自台湾年度全民健康保险调查的 11 个项目，并使用潜在类别分析（LCA）为 2012 年接受中医治疗的患者开发体验特征。建立了逻辑回归模型，以探索使用 LCA 确定的四个组中患者对治疗结果满意度的差异，同时调整了人口统计学因素。2015 年中医患者的医疗服务体验。患者对治疗结果的满意度。参与者（n=2012）分为四组。无论性别和年龄如何，与其他三组相比，组 2（nall）对治疗结果的满意度最低（比值比和 p 值：组 1 [pall]：7.40，组 3 [nComm]：1.37，组 4 [Skip]：2.20，均<0.001）。体验更有利的患者报告治疗结果的满意度更高。中医中更有利的治疗体验（例如积极的可及性和与提供者更好的人际关系）与更高的治疗结果满意度相关。世界卫生组织强调，将传统医学与西方医学相结合可以在实现“人人享有健康”目标方面发挥重要作用。卫生当局应制定旨在增强患者中医体验的策略，为积极的护理过程做出贡献。
