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通过沙特阿拉伯利雅得的Mawid应用程序对初级医疗保健中心患者投诉进行分析;一项横断面研究。

Analysis of patients' complaints in primary healthcare centres through the Mawid appl in Riyadh, Saudi Arabia; a cross-sectional study.

作者信息

Almusawi Mona Ahmed, Radwan Nashwa, Mahmoud Nagla, Alfaifi Amal, Alabdulkareem Khaled

机构信息

Senior epidemiologist MPH, Assisting Deputyship for Primary Health Care, Ministry of Health, Kingdom of Saudi Arabia. Email:

Professor of Public Health and Community Medicine, PhD, Faculty of Medicine, Tanta University, Public Health consultant, Assisting Deputyship for Primary Health Care, Ministry of Health, Kingdom of Saudi Arabia.

出版信息

Malays Fam Physician. 2023 Feb 26;18:17. doi: 10.51866/oa.72. eCollection 2023.

Abstract

INTRODUCTION

The Saudi Ministry of Health launched a central appointment mobile application system (Mawid) that is linked to all primary healthcare (PHC) centres in the kingdom. The application allows patients to evaluate the healthcare services they receive. This study aimed to determine the frequency and nature of the complaints of patients visiting PHC centres through the Mawid application.

METHOD

This cross-sectional study was conducted using 3-month secondary data from the Mawid application. The study included 3134 comments from 380,493 patients who visited 38 PHC centres in Riyadh and responded to the Mawid application evaluation questionnaire. Data were analysed using SPSS version 21.

RESULTS

Approximately 59.1% of the patients' comments were negative (patients' complaints); only 19%, positive; 8.40%, mixed; and 13.6%, unrelated. The patients' complaints (n=2969) were obtained from 380,493 patients within 3 months, yielding a complaint rate of 2.6 per 1000 attendances per month. The majority of the complaints (79.3%) were from patients visiting nonspecialised PHC centres. Approximately 59.1% of the complaints fell under the management domain; 23.6%, patient-staff relationship domain; and only 17.2%, clinical domain.

CONCLUSION

Management and interpersonal problems constituted the main patients' complaints in the PHC centres in Saudi Arabia. Therefore, future studies must clarify the reasons contributing to these complaints. Increasing the number of physicians, providing staff training and continuous auditing are mandatory to improve patients' experiences in PHC centres.

摘要

引言

沙特阿拉伯卫生部推出了一个中央预约移动应用系统(Mawid),该系统与沙特境内所有基层医疗中心相连。该应用程序允许患者对他们接受的医疗服务进行评价。本研究旨在通过Mawid应用程序确定前往基层医疗中心就诊的患者投诉的频率和性质。

方法

本横断面研究使用了Mawid应用程序三个月的二手数据。该研究纳入了利雅得38个基层医疗中心的380493名患者的3134条评论,这些患者对Mawid应用程序评估问卷做出了回应。使用SPSS 21版对数据进行分析。

结果

约59.1%的患者评论为负面(患者投诉);只有19%为正面;8.40%为混合评价;13.6%与医疗服务无关。在三个月内从380493名患者中获得了2969条患者投诉,每月每1000次就诊的投诉率为2.6。大多数投诉(79.3%)来自前往非专科基层医疗中心就诊的患者。约59.1%的投诉属于管理领域;23.6%属于医患关系领域;只有17.2%属于临床领域。

结论

管理和人际关系问题是沙特阿拉伯基层医疗中心患者投诉的主要原因。因此,未来的研究必须阐明导致这些投诉的原因。增加医生数量、提供员工培训和持续审计对于改善患者在基层医疗中心的就医体验是必不可少的。

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