全程管理医疗模式下四川省某三甲医院肺结节肺癌患者就医体验及影响因素分析  

Evaluation survey and influencing factors of integrated care managementservices in patients with pulmonary nodules and lung cancer in a tertiaryhospital in Sichuan Province

作　　者：杨先碧 陈凤[2] 刘青[2] 周永召[1,2] 朱梦蓉 YANG Xian-bi;CHEN Feng;LIU Qing;ZHOU Yong-zhao;ZHU Meng-rong(Department of Respiratory and Critical Care Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院呼吸与危重症医学科,四川成都610041 [2]四川大学华西医院全程管理中心,四川成都610041 [3]四川大学华西公共卫生学院/华西第四医院卫生政策与管理学系,四川成都610041

出　　处：《现代预防医学》2024年第3期552-556,571,共6页Modern Preventive Medicine

基　　金：国家重点研发计划项目(2022YFC2406804)。

摘　　要：目的 调查肺结节肺癌患者对全程管理评价情况,为提升慢病全程管理服务质量提供依据。方法 于2021年1月—2022年12月通过对符合纳入标准的肺结节肺癌全程管理患者发放电子问卷,开展匿名调查,并采用χ^(2)检验比较不同组别的评价差异。结果 共回收有效问卷130份,130名调查对象对全程管理的整体满意评价95.72分,推荐意愿94.66分,改善评价79.89分。不同民族(χ^(2)=16.788,P=0.010)、文化程度(χ^(2)=24.339,P=0.042)、纳入管理时间(χ^(2)=19.277,P=0.013)间满意评价的差异有统计学意义(P<0.05)。推荐意愿在不同民族(χ^(2)=15.943,P=0.014)、职业(χ^(2)=37.265,P=0.011)、纳入管理时间(χ^(2)=9.536,P=0.049)的患者间存在统计学差异(P<0.05)。患者满意评价、推荐意愿、改善评价三者之间存在显著正相关(P<0.05),三者间的相关系数分别为0.581、0.723、0.538。结论 肺结节肺癌全程管理模式获得患者的广泛认可,满意评价水平高,推荐意愿强,该模式可以显著提高患者的就医体验和诊疗效果。Objective To investigate the evaluation of integrated care management in patients with pulmonary nodule lung cancer and to provide basis for improving the service quality of integrated care management of chronic disease.Methods From January 2021 to December 2022,electronic questionnaires were distributed to patients with lung nodule lung cancer who met the inclusion criteria,and an anonymous survey was conducted.The chi-square test was used to compare the evaluation differences among different groups.Results A total of 130 valid questionnaires were collected.The overall satisfaction evaluation,recommendation intention,and improvement evaluation of the integrated care management were 95.72,94.66,and 79.89,respectively.There were significant differences(P<0.05)in satisfaction evaluation among different ethnic groups(χ^(2)=16.788,P=0.010),education level(χ^(2)=24.339,P=0.042),and management time(χ^(2)=19.277,P=0.013).There were significant differences(P<0.05)in recommendation intention among patients of different ethnic groups(χ^(2)=15.943,P=0.0144),occupation(χ^(2)=37.265,P=0.011),and management time(χ^(2)=9.536,P=0.049).There was a significant positive correlation among patient satisfaction evaluation,recommendation intention,and improvement evaluation,and the correlation coefficients were 0.581,0.723,and 0.538,respectively.Conclusion The integrated care management model of pulmonary nodule lung cancer is widely recognized by patients,with high level of satisfactory evaluation,and patients have strong willingness to recommend.This model can significantly improve the medical service experience and treatment effect.

关 键 词：肺结节 肺癌 全程管理 评价反馈 影响因素 

分 类 号：R197.32[医药卫生—卫生事业管理]