Department of Social Work, The First People's Hospital of Fuyang District of Hangzhou, Hangzhou City, Zhejiang Province 311400, China.
Medicine (Baltimore). 2024 Feb 23;103(8):e37275. doi: 10.1097/MD.0000000000037275.
Primary healthcare institutions face limitations in medical resources, leading to concerns from patients and their families regarding the quality of medical services, resulting in complaints against these institutions. This study aims to analyze the causes of complaints and implement improvement measures to enhance the service quality of primary healthcare institutions, increase satisfaction among patients and their families, and reduce the number of complaints. Relevant data were collected, and verified complaints were categorized based on departments, administrative office, and category. Pearson Chi-square test, Spearman correlation analysis, as well as univariate logistic regression were employed to analyze factors influencing patient satisfaction. A complaint-handling process was established, and regulations pertaining to complaints were formulated. Pearson Chi-square test results indicated a significant correlation between satisfaction and departments (P = .016) and administrative office (P = .022). Spearman correlation analysis revealed a significant correlation between satisfaction and departments (ρ = 0.157, P = .017) and administrative office (ρ = 0.151, P = .021). Univariate logistic regression analysis demonstrated a significant correlation between satisfaction and other related complaints in administrative office (OR = 3.321, 95% CI = 1.196-9.218, P = .021). Complaints related to departments and administrative offices are significantly correlated with satisfaction. After the implementation of a complaint management system in primary healthcare institutions, there is a notable improvement in service quality, enhanced patient experience, increased satisfaction, and a reduction in hospital complaints.
基层医疗机构在医疗资源方面面临局限,导致患者及其家属对医疗服务质量产生担忧,从而引发对这些机构的投诉。本研究旨在分析投诉的原因,并实施改进措施,以提高基层医疗机构的服务质量,增加患者及其家属的满意度,减少投诉数量。收集相关数据,并根据科室、行政办公室和类别对核实后的投诉进行分类。采用 Pearson Chi-square 检验、Spearman 相关分析以及单因素逻辑回归分析对影响患者满意度的因素进行分析。建立投诉处理流程,并制定投诉相关规定。Pearson Chi-square 检验结果表明,满意度与科室(P=0.016)和行政办公室(P=0.022)显著相关。Spearman 相关分析显示,满意度与科室(ρ=0.157,P=0.017)和行政办公室(ρ=0.151,P=0.021)显著相关。单因素逻辑回归分析表明,行政办公室的其他相关投诉与满意度显著相关(OR=3.321,95%CI=1.196-9.218,P=0.021)。与科室和行政办公室相关的投诉与满意度显著相关。基层医疗机构实施投诉管理制度后,服务质量显著改善,患者体验得到提升,满意度提高,医院投诉减少。