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与男性吸毒囚犯对监狱拘留诊所护理的满意度相关的因素。

Factors Associated with patient satisfaction towards a prison detention Clinic Care among male drug-using inmates.

机构信息

Civilian Division, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

School of Public Health, National Defense Medical Center, Taipei, Taiwan.

出版信息

BMC Health Serv Res. 2022 Oct 17;22(1):1255. doi: 10.1186/s12913-022-08609-8.

Abstract

This study assessed patient satisfaction and its associated factors among male drug-using inmates utilizing a prison detention clinic in Taiwan. A cross-sectional design and structured questionnaire were employed to recruit 580 drug-using inmates into the study. The Patient Satisfaction Questionnaire Short Form (PSQ-18), developed by the RAND Corporation, was used as the basis for the short scale of patient satisfaction, and the research data were analyzed using the SPSS for Windows 20.0 statistical software package. The results showed that the research subjects had low patient satisfaction in all the factors assessed compared with the scale's general norms. Among the original seven satisfaction subscales in this study, the highest score was for the financial aspects, and the lowest was for the amount of time spent with doctors. This study also investigated satisfaction with medical lab exams and the pharmacy at the prison's clinic, and the satisfaction scores were higher than the original seven subscales. In multiple logistic regression analyses, the final model indicated that the inmates undergoing observed rehabilitation (OR = 13.837, 95% CI = 2.736-69.983) were more likely satisfied with prison detention clinic c than those serving prison sentences. Those inmates with custodial deposits (high vs. low; OR = 1.813, 95% CI = 1.038-3.168), and meet their physical health needs (met vs. unmet; OR = 4.872, 95% CI = 2.054-11.560) had significant correlated with detention clinic care satisfactory level. Although there is only one study setting cannot give a generalizability for people who are incarcerated in Taiwan, this study highlights that the prison authorities should scrutinize factors associated with detention clinic care satisfaction, such as the type of inmate, economic status in the prison, self-reported health status, and their physical health needs, to increase the level of patient satisfaction.

摘要

本研究评估了台湾监狱拘留诊所男性吸毒囚犯的患者满意度及其相关因素。采用横断面设计和结构化问卷招募了 580 名吸毒囚犯参与研究。采用 RAND 公司开发的患者满意度问卷短表(PSQ-18)作为患者满意度短量表的基础,使用 SPSS for Windows 20.0 统计软件包对研究数据进行分析。结果表明,与量表的一般规范相比,研究对象在所有评估因素中患者满意度均较低。在本研究的七个原始满意度子量表中,得分最高的是财务方面,得分最低的是与医生相处的时间。本研究还调查了对监狱诊所的医学实验室检查和药房的满意度,满意度得分高于原始七个子量表。在多因素逻辑回归分析中,最终模型表明,接受观察康复治疗的囚犯(OR=13.837,95%CI=2.736-69.983)比服徒刑的囚犯更有可能对监狱拘留诊所 c 感到满意。有监管存款的囚犯(高 vs. 低;OR=1.813,95%CI=1.038-3.168)和满足其身体健康需求的囚犯(满足 vs. 不满足;OR=4.872,95%CI=2.054-11.560)与拘留诊所护理满意度显著相关。尽管只有一项研究设置,无法对台湾被监禁的人具有普遍性,但本研究强调,监狱当局应仔细审查与拘留诊所护理满意度相关的因素,如囚犯类型、监狱经济状况、自我报告的健康状况及其身体健康需求,以提高患者满意度。

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