Ambade Mayanka, Kim Rockli, Subramanian S V
Indian Institute of Technology Mandi, India.
Division of Health Policy and Management, College of Health Science, Korea University, Seoul, South Korea.
Public Health Pract (Oxf). 2024 Aug 22;8:100541. doi: 10.1016/j.puhip.2024.100541. eCollection 2024 Dec.
Patient experiences have not been documented at all India level among older adults for inpatient and outpatient services. We provide all-India and sub national estimates on six domains of patient experience, namely: waiting time, respectful treatment, clarity of explanation provided, privacy during consultation, treated by provider of choice, and cleanliness of facility.
Unit records of adults aged 45 years and above for their inpatient (n = 4330) or outpatient (n = 33,724) service use were assessed from the Longitudinal Ageing Survey of India (LASI), conducted in 2017-18. We identified patient experience as negative if the respondent rated it as either "Bad" or "Very Bad" on a five-point Likert scale. We computed proportion of negative experience by socio-economic status, geographic location, and type of healthcare facilities. We used binary logistic regression to estimate predictors of negative patient experience, and a three-level logistic regression model to partition the total geographic variation of patient experiences.
Most individuals rated their experience in all six domains as "Good". Negative experiences were higher among patients who used public facilities, specifically for waiting time and cleanliness of facility. Among inpatients, the higher-than-average negative experience was noted in the north and northwest, while among outpatients, it was higher in the northeast. The largest geographic variation in negative patient experience was attributable to the villages/CEBs for all domains in outpatient services and three domains of inpatient services, whereas states accounted for the other three inpatient domains.
Majority of older adults rated their experience of healthcare use positively, but less for public health facilities.
在印度全国范围内，尚未记录老年人住院和门诊服务的患者体验。我们提供了印度全国和各邦关于患者体验六个领域的估计数据，即：等待时间、尊重对待、解释清晰度、咨询时的隐私、由首选提供者治疗以及设施清洁度。
从2017 - 18年进行的印度纵向老龄化调查（LASI）中评估了45岁及以上成年人住院（n = 4330）或门诊（n = 33724）服务使用的单位记录。如果受访者在五点李克特量表上将其评为“差”或“非常差”，我们将患者体验确定为负面。我们按社会经济地位、地理位置和医疗设施类型计算了负面体验的比例。我们使用二元逻辑回归来估计负面患者体验的预测因素，并使用三级逻辑回归模型来划分患者体验的总体地理差异。
大多数人在所有六个领域都将他们的体验评为“好”。使用公共设施的患者负面体验更高，特别是在等待时间和设施清洁度方面。在住院患者中，北部和西北部的负面体验高于平均水平，而在门诊患者中，东北部的负面体验更高。患者负面体验的最大地理差异归因于门诊服务所有领域和住院服务三个领域的村庄/社区发展街区，而各邦则占住院服务的其他三个领域。
大多数老年人对他们的医疗使用体验给予积极评价，但对公共卫生设施的评价较低。
