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沙特阿拉伯初级卫生保健服务患者满意度研究

A study of patient satisfaction with primary health care services in Saudi Arabia.

作者信息

Mahmoud M E

机构信息

Department of Community and Family Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Community Health. 1993 Feb;18(1):49-54. doi: 10.1007/BF01321520.

DOI:10.1007/BF01321520
PMID:8450093
Abstract

Patient satisfaction is of value to primary health care providers. The main objective of this study was to estimate patient satisfaction with respect to primary health care services in Riyadh City, Saudi Arabia. Fourteen primary health care centers were chosen randomly to represent various geographic areas of Riyadh. Information was collected through a pre-tested questionnaire used by thirty well-trained final year medical students. Systematic sampling of family files was conducted and the household head was interviewed. Nine hundred respondents were interviewed concerning their satisfaction with the services delivered. The findings were as follows: 40% were dissatisfied. One third of the dissatisfied expressed the view that the center was too far; 19.4% complained that the working hours of the center were not suitable; 38.9% complained of the absence of specialty clinics; 19.4% had language barriers with the physicians; 63.9% complained about delays at the center; 16.7% of the satisfied and 38.9% of the dissatisfied complained that the physicians did not satisfactorily explain their health problems and treatments. In 22.7% of the dissatisfied category, physicians' explanations were neither clear nor understandable. Among the satisfied, 74.6% said that primary health care center was the first choice if they felt sick; 61.1% of the non-satisfied category gave this response. The implications of these findings are discussed, and recommendations are given to rectify certain problems.

摘要

患者满意度对初级卫生保健提供者具有重要意义。本研究的主要目的是评估沙特阿拉伯利雅得市患者对初级卫生保健服务的满意度。随机选择了14个初级卫生保健中心,以代表利雅得的不同地理区域。通过一份经过预测试的问卷收集信息,该问卷由30名训练有素的医学专业最后一年学生使用。对家庭档案进行系统抽样,并对户主进行访谈。就他们对所提供服务的满意度对900名受访者进行了访谈。结果如下:40%的人不满意。三分之一的不满者表示该中心距离太远;19.4%的人抱怨该中心的工作时间不合适;38.9%的人抱怨没有专科诊所;19.4%的人与医生存在语言障碍;63.9%的人抱怨在该中心会有延误;16.7%的满意者和38.9%的不满者抱怨医生没有令人满意地解释他们的健康问题和治疗方法。在22.7%的不满者中,医生的解释既不清楚也难以理解。在满意者中,74.6%的人表示如果他们生病,初级卫生保健中心是首选;在不满意者中,这一比例为61.1%。讨论了这些结果的影响,并提出了纠正某些问题的建议。

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