Zhongguo quanke yixue (Feb 2024)

The Patient Satisfaction and Its Influencing Factors in Compact County Medical Community Based on Anderson Model

  • CHEN Lijiang, HU Chuanfeng, TANG Jing, ZHENG Ruini, GUAN Xueling, HUANG Wenhao, QIN Zhaohui

DOI
https://doi.org/10.12114/j.issn.1007-9572.2023.0101
Journal volume & issue
Vol. 27, no. 04
pp. 427 – 453

Abstract

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Background The construction of compact county medical health community plays a key role in improving the utilization efficiency of rural medical resources and improving the capacity of primary health services. It is of great significance for improving compact county medical community to evaluate its construction based on patient satisfaction. Objective To understand the satisfaction of patients and influencing factors within the compact county medical community in Xinyi, Jiangsu, and provide a reference for further improving the construction of compact county medical community. Methods A questionnaire survey was conducted among 1 068 patients within the compact county medical community from October 22, 2020, to December 11, 2020 based on the Anderson model. The weight of each satisfaction index was determined by factor analysis and the overall satisfaction was calculated. The influencing factors of patients' satisfaction in the compact county medical community of Xinyi City were discussed by univariate analysis and multivariate Logistic regression analysis. Results A total of 1 100 questionnaires were distributed in this survey, and 1 068 valid questionnaires were recovered, with a valid recovery rate of 97.09%. The overall satisfaction rate of the patients was 64.23% (686/1 068). The results of multivariate Logistic regression analysis showed that occupation of enterprise and institution employee (OR=2.439), knowledge of health insurance policy was relatively (OR=1.635) and very well understood (OR=2.840), attendance at member hospitals (OR=1.938), inpatient visit (OR=1.994), physically disabled (OR=2.268) were associated with higher satisfaction with the compact county medical community (P<0.05) . Conclusion Personal characteristics and medical behaviors are the main factors influencing satisfaction of patients within the compact county medical community. It is necessary to strengthen the construction of compact county medical community and the medical service capabilities of core hospitals, improve the medical insurance payment policy, increase the publicity of the medical community and related policies.

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