匈牙利初级保健人群在使用服务时的期望、价值观、偏好和体验：对 QUALICOPC 国际研究患者问卷的评估。

Expectations, values, preferences and experiences of Hungarian primary care population when accessing services: Evaluation of the patient's questionnaires of the international QUALICOPC study.

机构信息

Department of Family and Occupational Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.

Doctoral School of Health Science, University of Debrecen, Debrecen, Hungary.

出版信息

Prim Health Care Res Dev. 2021 Jun 1;22:e23. doi: 10.1017/S1463423620000596.

DOI:10.1017/S1463423620000596

PMID:34060439

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8220346/

Abstract

BACKGROUND

Preferences and wishes of patients is an important indicator of primary health care provision, although there are differences between national primary care systems.

AIM

The aim of this paper is to describe and evaluate the preferences and values of Hungarian primary care (PC) patients before accessing and to analyse their experiences after attending PC services.

METHODS

In the Hungarian arm of the European QUALICOPC Study, in 2013-2014, information was collected with questionnaires; the Patient Values contained 19 and the Patient Experiences had 41 multiple-choice questions.

FINDINGS

The questionnaires were filled by 2149 (840 men, 1309 women) using PC services, aged 49.1 (SD ± 16.7) years, 73% of them having chronic morbidities. Women preferred to be accompanied and rated their own health better. Patients in the lowest educational category and women visited their GPs more often, and they are consulted more frequently by other doctors as well. Men, older and secondary educated people reported more frequently chronic morbidities. Longer opening hours were preferred by patients with higher education. The most preferred expectations were availability and polite communication of doctors, not pressures on consultation time, clear instructions provided during consultations, shared decisions about treatments and options for consultations, the knowledge of the doctors concerning the living conditions, social and cultural backgrounds of patients, updated medical records, short waiting times, options for home visits, wide scope of professional competences and trust in the doctor.

CONCLUSION

Wishes, preferences of patients and fulfilment were similar than described in other participating countries of the study. Although there are room to improve PC services, most of the questioned population were satisfied with the provision.

摘要

背景

患者的偏好和意愿是基层医疗服务提供的一个重要指标，尽管各国的基层医疗体系存在差异。

目的

本文旨在描述和评估匈牙利基层医疗（PC）患者在就诊前的偏好和价值观，并分析他们在接受 PC 服务后的体验。

方法

在 2013-2014 年欧洲 QUALICOPC 研究的匈牙利部分，使用问卷收集信息；患者价值观包含 19 个问题，患者体验有 41 个多项选择题。

发现

共有 2149 名（840 名男性，1309 名女性）使用 PC 服务的患者填写了问卷，年龄为 49.1（SD±16.7）岁，73%的患者患有慢性疾病。女性更希望有人陪伴，并对自己的健康状况评价更高。处于最低教育类别的患者和女性更频繁地就诊于全科医生，也更频繁地咨询其他医生。男性、年龄较大和接受过中等教育的人报告的慢性疾病更多。较高教育程度的患者更喜欢更长的营业时间。患者最期望的是医生的可用性和礼貌沟通，不施加就诊时间的压力，在就诊期间提供清晰的指导，共同决定治疗方案和选择，医生了解患者的生活条件、社会和文化背景，更新的医疗记录，较短的等待时间，家庭访视的选择，广泛的专业能力以及对医生的信任。