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沙特阿拉伯王国利雅得地区患者对门诊就诊满意度的评估:一项横断面研究。

Assessment of Patient Satisfaction Regarding Clinic Visits in Riyadh, Kingdom of Saudi Arabia: A Cross-Sectional Study.

作者信息

Farooqi Waqar, Abukaram Talal M, Alsulaiman Tarfah, Wadaan Arwa M, Sitwat Roha, AlDawood Haya, Gubran Lamis M, Alsayed Dana N, AlHussain Sumaya A, Alhayyaf Raghad

机构信息

Internal Medicine, Almaarefa University, Riyadh, SAU.

College of Medicine, Almaarefa University, Riyadh, SAU.

出版信息

Cureus. 2024 Aug 1;16(8):e65958. doi: 10.7759/cureus.65958. eCollection 2024 Aug.

Abstract

Background Understanding patient experiences and opinions is crucial to improving the quality of treatment given as healthcare services in Riyadh continue to expand. This study attempts to evaluate various aspects of patient satisfaction with clinic visits. Objectives To assess and analyze patient satisfaction with clinic visits in Riyadh, Kingdom of Saudi Arabia, in order to identify areas for improvement and enhance the overall quality of healthcare services in the region. Methods This cross-sectional study collected data from 350 adults aged 18 and above in Riyadh, Kingdom of Saudi Arabia. A paper-based questionnaire was distributed using a snowball convenience sampling technique at various locations. The survey assessed different aspects of patient satisfaction, including demographics, accessibility, quality of care, and patient experience. Ethical approval was obtained, and informed consent was acquired from all participants. Results The study's demographic distribution revealed that the majority of participants were female (77.4%), with the largest age group being 24-35 years old (34.9%). Saudi nationals constituted the majority (72.6%). Regarding accessibility and convenience of healthcare services, a significant proportion of participants agreed that the distance between their residence and the health center was reasonable (73.4%). However, opinions were mixed regarding waiting times, with some considering it reasonable (47.4%) and others disagreeing (25.4%). Participants also had varying views on appointment availability, with a notable percentage finding it difficult (33.7%). In terms of continuity of care and communication, most participants agreed that the clinic proactively contacts them for appointments (67.4%), but there were mixed responses regarding the ease of transferring patients to a hospital (37.7% agreed, 13.1% disagreed). The agreement on seeing the same doctor at each visit was moderate (41.1%), and a majority agreed that doctors had easy access to medical records (74.9%). Regarding the quality of care and patient experience, most participants agreed that doctors treated them with respect (83.7%) and that nurses and staff members were respectful and cooperative (54.3%). The majority agreed that health centers provided services during emergencies (78%). In terms of evaluating the quality of medical services and facilities, most participants agreed that vital signs were checked during each visit (78.6%), while satisfaction with laboratory facilities was moderate (60.3%). When it came to doctor-patient communication and counseling, most participants agreed that doctors provided detailed information about their disease and medications (73.4%) and addressed patients' queries (74.9%). However, some participants said that doctors did not inform them well about their disease (23.4%). Most participants agreed that doctors showed empathy and friendliness (73.7%) and allocated adequate time during visits (71.7%). However, satisfaction with post-visit accessibility to the doctor was mixed (35.1% agreed it was easy). Conclusion The findings revealed that while participants expressed satisfaction with certain aspects of care, there were areas requiring improvement. These areas included reducing waiting times, enhancing appointment availability, improving transfer procedures, ensuring consistency in doctor-patient relationships, and enhancing communication and counselling.

摘要

背景

随着利雅得医疗服务的不断扩展,了解患者的经历和意见对于提高治疗质量至关重要。本研究旨在评估患者对门诊就诊的满意度的各个方面。

目的

评估和分析沙特阿拉伯王国利雅得患者对门诊就诊的满意度,以确定改进领域并提高该地区医疗服务的整体质量。

方法

这项横断面研究收集了沙特阿拉伯王国利雅得350名18岁及以上成年人的数据。采用雪球便利抽样技术在不同地点分发纸质问卷。该调查评估了患者满意度的不同方面,包括人口统计学、可及性、护理质量和患者体验。获得了伦理批准,并从所有参与者那里获得了知情同意。

结果

研究的人口统计学分布显示,大多数参与者为女性(77.4%),最大年龄组为24 - 35岁(34.9%)。沙特国民占多数(72.6%)。关于医疗服务的可及性和便利性,很大一部分参与者认为他们居住的地方与健康中心之间的距离合理(73.4%)。然而,对于等待时间的看法不一,一些人认为合理(47.4%),另一些人则不同意(25.4%)。参与者对预约的可得性也有不同看法,相当比例的人认为很难预约(33.7%)。在护理连续性和沟通方面,大多数参与者同意诊所会主动联系他们进行预约(67.4%),但对于将患者转院的难易程度反应不一(37.7%同意,13.1%不同意)。每次就诊看同一位医生的一致性意见适中(41.1%),大多数人同意医生很容易获取病历(74.9%)。关于护理质量和患者体验,大多数参与者同意医生尊重地对待他们(83.7%),护士和工作人员尊重且合作(54.3%)。大多数人同意健康中心在紧急情况下提供服务(78%)。在评估医疗服务和设施质量方面,大多数参与者同意每次就诊时都会检查生命体征(78.6%),而对实验室设施的满意度适中(60.3%)。在医患沟通和咨询方面,大多数参与者同意医生提供了关于他们疾病和药物的详细信息(73.4%)并解答了患者的疑问(74.9%)。然而,一些参与者表示医生没有很好地告知他们关于疾病的情况(23.4%)。大多数参与者同意医生表现出同理心和友好(73.7%)并在就诊时分配了足够的时间(71.7%)。然而,对就诊后联系医生的可及性满意度不一(35.1%同意很容易)。

结论

研究结果表明,虽然参与者对某些护理方面表示满意,但仍有需要改进的领域。这些领域包括减少等待时间、提高预约可得性、改进转院程序、确保医患关系的一致性以及加强沟通和咨询。

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J Nurs Manag. 1995 Mar;3(2):59-65. doi: 10.1111/j.1365-2834.1995.tb00082.x.

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