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评估产妇满意度:坦桑尼亚 Chanika 医院的以患者为中心的护理、医院环境及信息寻求情况

Assessing Maternal Satisfaction: Patient-Centered Care, Hospital Environment, and Information-Seeking in Chanika Hospital in Tanzania.

作者信息

Jang Sarang, Lee Sangmi, Sohn Aeree

机构信息

Department of Public Health, Sahmyook University, Seoul 01795, Republic of Korea.

Medipeace, Seoul 08390, Republic of Korea.

出版信息

J Pers Med. 2024 Apr 25;14(5):455. doi: 10.3390/jpm14050455.

Abstract

This study examined the impact of patient-centered care, satisfaction with the hospital environment, and maternal information-seeking on maternal healthcare satisfaction in Tanzania. A total of 707 mothers who delivered at Chanika Hospital in Tanzania were surveyed using a structured questionnaire. Multiple regression analyses were conducted to identify factors related to maternal satisfaction. Only 9.9% of the participants reported that they "usually" or "always" felt involved in treatment decisions. High levels of satisfaction were found for hospital cleanliness (93.6%) and safety (94.9%). However, there was a significant gap in satisfaction regarding the adequacy of water quality for medical services, with only 8.1% expressing satisfaction. Limited use of digital platforms was observed in terms of information-seeking behavior for fetal development, with only 19.5% of the participants using the internet and 14.3% using mobile apps. Patient-centered experiences with healthcare providers, especially midwives, had a significant positive impact on maternal satisfaction (β = 0.11, = 0.021). Other significant variables were satisfaction with the hospital environment (β = 0.25, < 0.001) and satisfaction with hospital water (β = 0.13, < 0.001). It is recommended that healthcare improvements focus on patient-centered experiences and water quality for drinking and medical services to improve patient satisfaction.

摘要

本研究考察了以患者为中心的护理、对医院环境的满意度以及产妇信息寻求行为对坦桑尼亚产妇医疗保健满意度的影响。使用结构化问卷对在坦桑尼亚Chanika医院分娩的707名母亲进行了调查。进行了多元回归分析以确定与产妇满意度相关的因素。只有9.9%的参与者表示他们“通常”或“总是”感觉参与了治疗决策。医院清洁度(93.6%)和安全性(94.9%)的满意度较高。然而,医疗服务水质充足性方面的满意度存在显著差距,只有8.1%的人表示满意。在胎儿发育信息寻求行为方面,数字平台的使用有限,只有19.5%的参与者使用互联网,14.3%的人使用移动应用程序。与医疗服务提供者,尤其是助产士的以患者为中心的体验对产妇满意度有显著的积极影响(β = 0.11, = 0.021)。其他显著变量包括对医院环境的满意度(β = 0.25, < 0.001)和对医院用水的满意度(β = 0.13, < 0.001)。建议医疗保健改进应侧重于以患者为中心的体验以及饮用水和医疗服务的水质,以提高患者满意度。

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