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评估患者满意度以及韩医与西医联合治疗的必要性。

Assessing Patient Satisfaction and the Need for Collaborative Treatment with Korean and Western Medicine.

作者信息

Park Soyong, Lee Yoonju, Kim Linae, Acharya Shiva Raj, Kim NamKwen

机构信息

College of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Sep 23;12(18):1901. doi: 10.3390/healthcare12181901.

Abstract

BACKGROUND

The collaborative treatment of Korean medicine (KM) and Western medicine (WM) in Korea has gained prominence since its initiation. However, comprehensive evaluations of patient satisfaction and care effectiveness remain limited. Thus, this study aimed to evaluate patient satisfaction and the need for collaborative KM-WM treatment in the fourth phase of the national pilot project.

METHODS

A multicenter survey was conducted among 321 patients from 15 institutions participating in the fourth phase of the collaborative KM-WM pilot project, spanning from 1 August 2023 to 31 October 2023. Patient satisfaction and needs were assessed using a validated, semi-structured questionnaire with a 5-point Likert scale. Descriptive statistics and hierarchical multiple regression were used in the analysis.

RESULTS

The overall satisfaction with collaborative KM-WM treatment was notably high (91.25%). Among the participants, 91.58% indicated the necessity of the collaborative KM-WM pilot project, whereas 90.66% pointed out the need to incorporate inpatient services into collaborative care. Expansion of the pilot project to additional institutions and primary healthcare settings was substantially demanded (85.36% and 80.06%, respectively). Treatment effects (, 0.344; 95% CI: 0.237-0.451), appropriate treatment time (, 0.140; 95% CI: 0.051-0.229), medical procedural efficiency (, 0.227; 95% CI: 0.126-0.328), and promotional activities (, 0.175; 95% CI: 0.101-0.250) significantly contributed to overall patient satisfaction (each, < 0.05).

CONCLUSIONS

The fourth phase of the KM-WM project reflects high patient satisfaction and a substantial need for collaborative treatment. Further research should include longitudinal studies and employ mixed-methods approaches to better understand, evaluate, and improve collaborative KM-WM treatment.

摘要

背景

韩国韩医学(KM)与西医学(WM)的协同治疗自开展以来日益受到关注。然而,对患者满意度和治疗效果的全面评估仍然有限。因此,本研究旨在评估国家试点项目第四阶段患者的满意度以及韩医学与西医学协同治疗的需求。

方法

对参与2023年8月1日至2023年10月31日韩医学与西医学协同试点项目第四阶段的15家机构的321名患者进行了多中心调查。使用经过验证的、具有5点李克特量表的半结构化问卷评估患者的满意度和需求。分析中采用了描述性统计和分层多元回归。

结果

患者对韩医学与西医学协同治疗的总体满意度显著较高(91.25%)。在参与者中,91.58%表示韩医学与西医学协同试点项目有必要,而90.66%指出需要将住院服务纳入协同治疗。大量受访者要求将试点项目扩展到更多机构和基层医疗环境(分别为85.36%和80.06%)。治疗效果(β = 0.344;95%置信区间:0.237 - 0.451)、适当的治疗时间(β = 0.140;95%置信区间:0.051 - 0.229)、医疗程序效率(β = 0.227;95%置信区间:0.126 - 0.328)和推广活动(β = 0.175;95%置信区间:0.101 - 0.250)对患者总体满意度有显著贡献(均P < 0.05)。

结论

韩医学与西医学项目的第四阶段反映出患者的高满意度以及对协同治疗的大量需求。进一步的研究应包括纵向研究,并采用混合方法,以更好地理解、评估和改进韩医学与西医学的协同治疗。

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