医改前后患者对就诊机构的评价变化及影响不满意的因素  

Change of outpatients′evaluation on the health institution before and after HSR and influencing factors for dissatisfac-tion

作　　者：蔡敏 钱军程 

机构地区：[1]国家卫生和计划生育委员会统计信息中心,北京市100810

出　　处：《中国医院统计》2013年第6期401-404,共4页Chinese Journal of Hospital Statistics

摘　　要：目的：了解医改前后就诊患者对就诊机构评价的变化，为提高患者满意度，促进医患和谐提供参考。方法利用2008年第4次国家卫生服务调查的数据以及2011年医改阶段性评价调查的数据，采用单因素分析和logistic回归分析，了解就诊患者对就诊机构的评价以及影响病人不满意的因素。结果医改实施两年后，门诊患者对就诊机构各方面的满意度均有升高。费用高、设备差、药品少仍然是就诊患者最不满意的3个方面。收入、医疗费用支付方式、就医过程中候诊时间、就诊环境及对医生的信任程度等因素会影响患者满意度。结论提高患者满意度需要进一步提高医疗人员的技术水平，加强医疗安全、缩短候诊时间、改善就医环境。营造医患和谐环境，需要医患双方共同努力。Objective To find out the change of outpatients′satisfaction status, and provide reference for improving pa-tients′satisfaction .Methods The change of outpatients′evaluation on the health institution and influencing factors for dissatis-faction wereanalyzed , with the data of the 4th China National Health Services Survey in 2008 and Health System Reform evalua-tion survey in 2011, with the use of single factor analysis and Logistic regression methods.Results Two years after HSR, out-patients′satisfaction for the health institution increased.High medical expenses, poor facility, lack of medicine were the most dissatisfactory factors.Income, payment type, waiting time, the environment and trust on doctor etc.were factors influencing sat-isfaction.Conclusion Improve outpatients′satisfaction needs efforts from both doctors and patients.

关 键 词：国家卫生服务调查 医改阶段性评价调查 就诊患者 满意度 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]