Department of Medical Administration, First Peoples Hospital, Neijiang, Sichuan, China
Chongqing Medical University, Chongqing, China.
BMJ Open. 2024 Nov 17;14(11):e086331. doi: 10.1136/bmjopen-2024-086331.
This study aims to investigate the satisfaction levels of inpatients and identify the determinants of inpatient satisfaction and hospital recommendations.
A cross-sectional study was conducted in 2022.
A tertiary general hospital in Sichuan Province, China.
271 inpatients were randomly selected and studied.
A tailored questionnaire was developed to measure inpatient satisfaction and hospital recommendation. T-test and analysis of variance were employed to compare the differences in inpatients' demographic characteristics across five satisfaction domains. Multivariate binary logistic regression was performed to identify determinants associated with inpatient satisfaction and hospital recommendation.
The mean inpatient satisfaction score was 4.27 and the mean hospital recommendation score was 3.96. Inpatients showed the highest satisfaction with the physician care domain and the lowest satisfaction with the hospital environment domain. Statistically significant differences were observed in inpatient demographic characteristics among specific satisfaction domains. Older inpatients, those with Urban Employees and Residents Medical Insurance, from the internal medicine department, and inpatients from the hospital's older region reported the highest levels of satisfaction. Multivariate binary logistic regression revealed that the nursing care domain was the strongest positive predictor of both inpatient overall satisfaction and hospital recommendation. Additionally, the medical procedure and hospital environment domains were strong positive predictors for hospital recommendation and inpatient overall satisfaction respectively. The hospital region domain was a strong negative predictor for inpatient overall satisfaction.
Higher satisfaction levels do not necessarily correlate with an increased likelihood of hospital recommendation. Inpatient satisfaction levels vary significantly based on factors such as age, gender, insurance type, hospital clinical department and region. The domains of nursing care and medical procedure are the influencing factors associated with inpatient overall satisfaction. The domains of nursing care, hospital environment and hospital region are the influencing factors of inpatient hospital recommendation.
本研究旨在调查住院患者的满意度，并确定住院患者满意度和医院推荐的决定因素。
横断面研究，于 2022 年进行。
中国四川省一家三级综合医院。
随机选择 271 名住院患者进行研究。
制定了一份定制问卷来测量住院患者的满意度和医院推荐。采用 t 检验和方差分析比较了五个满意度领域中住院患者人口统计学特征的差异。采用多变量二项逻辑回归分析确定与住院患者满意度和医院推荐相关的决定因素。
住院患者满意度平均得分为 4.27，医院推荐平均得分为 3.96。住院患者对医生护理领域最满意，对医院环境领域最不满意。在特定满意度领域中，住院患者的人口统计学特征存在显著差异。老年患者、城镇职工和居民医疗保险患者、内科患者以及来自医院较老区域的患者报告的满意度最高。多变量二项逻辑回归显示，护理服务领域是住院患者总体满意度和医院推荐的最强正预测因素。此外，医疗程序和医院环境领域分别是医院推荐和住院患者总体满意度的强正预测因素。医院区域领域是住院患者总体满意度的强负预测因素。
较高的满意度水平不一定与增加医院推荐的可能性相关。住院患者的满意度水平因年龄、性别、保险类型、医院临床科室和区域等因素而异。护理服务和医疗程序领域是与住院患者总体满意度相关的影响因素。护理服务、医院环境和医院区域领域是影响住院患者医院推荐的因素。
