就医体验视角下的重庆市民营康复医院住院患者满意度影响因素分析  

Factors influencing satisfaction of inpatients in Chongqing’s private rehabilitation hospital from the perspective of medical experience

作　　者：曾文苹 钱矛锐 冷晓冬 赵鑫 ZENG Wenping;QIAN Maorui;LENG Xiaodong;ZHAO Xin(Research Center for Medicine and Social Development,School of Public Health,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学公共卫生学院医学与社会发展研究中心,重庆400016

出　　处：《现代医院》2024年第8期1186-1189,共4页Modern Hospitals

基　　金：重庆市社科规划社会组织项目(2021SZ40)。

摘　　要：目的分析重庆市民营康复医院住院患者就医体验视角下的满意度现状及其影响因素,为民营康复医院改进医疗服务质量提供参考。方法采用方便抽样对重庆市3家民营康复医院的467名住院患者进行问卷调查,运用χ^(2)检验和Logistic回归探讨患者满意度及其影响因素。结果住院患者就医整体满意率为78.6%,总体满意度得分为(3.84±0.52)分,其中投诉与建议服务得分最高,后勤与环境服务和康复治疗服务得分较低。回归分析显示,家庭月人均收入2001~4000元(OR=0.221,95%CI:0.077~0.635)、4001~6000元(OR=0.296,95%CI:0.125~0.700),医疗付费方式中的自费(OR=4.198,95%CI:1.035~17.027)、其他(商业保险等)(OR=9.591,95%CI:1.767~52.049)均是重庆市民营康复医院住院满意度的影响因素。结论住院患者就医体验总体满意度尚可,但仍有较大的提升空间,建议从多维度提升住院患者的满意度。Objective To analyze the current patient satisfaction levels and their influencing factors from the perspective of medical experience in private rehabilitation hospitals in Chongqing.This analysis aimed to provide references for these hospitals to improve the quality of medical services.Methods A questionnaire survey of 467 inpatients from three private rehabilitation hospitals in Chongqing was conducted,using convenience sampling.The χ^(2) test and logistic regression analysis were used to identify factors influencing patient satisfaction.Results The overall satisfaction rate of inpatient care was 78.6%,with an average satisfaction score of 3.84±0.52.The complaint and advice service scored the higher,while logistics and environmental service and rehabilitation treatment service were assessed with lower scores.Regression analysis showed that the per capita monthly household income ranged between 2001 and 4000 yuan(OR=0.221,95%CI:0.077-0.635),and between 4001 and 6000 yuan(OR=0.296,95%CI:0.125-0.700).Additionally,out-of-pocket payment(OR=4.198,95%CI:1.035-17.027),and others payment methods,including commercial insurance(OR=9.591,95%CI:1.767-52.049)were identified as influential factors.Conclusion Inpatients’overall satisfaction with their medical experience is acceptable,but still has considerable room for improvement.It is recommended that a multidimensional approach be adopted to improve patient satisfaction.

关 键 词：住院患者 民营康复医院 满意度 就医体验 

分 类 号：R197.323.4[医药卫生—卫生事业管理]