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评估以患者为中心的标准化预防流程在提高患者满意度和回访意愿方面的有效性。

Evaluating the Effectiveness of Patient-Centered Standardized Prophylaxis Processes in Enhancing Patient Satisfaction and Return Intentions.

作者信息

Tao Wen, Liu Tingfang

机构信息

School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

出版信息

Behav Sci (Basel). 2024 Dec 30;15(1):24. doi: 10.3390/bs15010024.

Abstract

This study aimed to evaluate the effectiveness of a patient-centered standardized prophylaxis process in improving patient satisfaction and intentions to return to dental clinics. Conducted in a first-tier city in China from 9 June to 26 July 2023, the cross-sectional survey included 826 patients from 38 dental clinics. Among the respondents, 438 received standardized prophylaxis services, while 388 were in the non-standardized group, with a mean age of 38.2 ± 12.1 years and 50.24% male participation. The results revealed that patients in the standardized prophylaxis group reported significantly higher satisfaction scores (average 4.74 vs. 3.34, < 0.0001) and greater intentions to return (average 4.77 vs. 4.10, < 0.0001) compared to those receiving non-standardized care. The ordinal logistic regression analysis identified patient satisfaction as a strong predictor of return intention, with an odds ratio of 24.487, while the standardized service group had an odds ratio of 16.063, indicating a substantial positive effect on satisfaction. Age was also found to significantly affect return intention, reflected in an odds ratio of 0.969. Furthermore, the model showed strong predictive accuracy, which was supported by a Somers' D value of 0.806. Additionally, an impressive 89.9% of the observations were correctly ordered, which strengthens the reliability of the findings. These outcomes highlight the significant contribution of patient-centered, standardized practices to the satisfaction of the patients as well as the development of their desire to return for follow-up care. However, the findings should be interpreted with caution due to the study's cross-sectional nature, which limits causal inferences, and the specific demographic characteristics that may affect the general applicability of the results. Further research is needed to explore these dynamics across diverse populations and settings.

摘要

本研究旨在评估以患者为中心的标准化预防流程在提高患者满意度及复诊意愿方面的有效性。该横断面调查于2023年6月9日至7月26日在中国一线城市开展,纳入了来自38家牙科诊所的826名患者。在受访者中,438人接受了标准化预防服务,388人属于非标准化组,平均年龄为38.2±12.1岁,男性参与率为50.24%。结果显示,与接受非标准化护理的患者相比,标准化预防组的患者满意度得分显著更高(平均分4.74对3.34,<0.0001),复诊意愿也更强(平均分4.77对4.10,<0.0001)。有序逻辑回归分析确定患者满意度是复诊意愿的有力预测因素,比值比为24.487,而标准化服务组的比值比为16.063,表明对满意度有显著的积极影响。年龄也被发现对复诊意愿有显著影响,比值比为0.969。此外,该模型显示出很强的数据预测准确性,Somers' D值为0.806也证实了这一点。另外,令人印象深刻的是,89.9%的观察结果被正确排序,这增强了研究结果的可靠性。这些结果突出了以患者为中心的标准化做法对患者满意度以及他们后续复诊意愿的显著贡献。然而,由于该研究的横断面性质限制了因果推断,以及可能影响结果普遍适用性的特定人口统计学特征,这些研究结果应谨慎解读。需要进一步研究以探讨不同人群和环境中的这些动态情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fceb/11761950/9b80c81afe5a/behavsci-15-00024-g001.jpg

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