公立医院综合改革效果患者满意度评价研究
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1.宿迁市第一人民医院;2.南京医科大学医政学院

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Research on Patient Satisfaction Evaluation of Comprehensive Reform Effect in Public Hospitals
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    摘要:

    【摘 要】以江苏省医改办2020年组织的公立医院综合改革效果评价第三方满意度调查活动为基础,对江苏省25家医院就诊患者对公立医院综合改革的满意度评价情况进行分析,研究患者满意度在综合医改效果评价方面的影响因素,结果发现,患者对于公立医院综合改革效果满意度评价总体满意,总体满意度为96.3%。医保及价格、医疗服务、分级诊疗制度、就医环境四个维度满意度对总体满意度都有影响,F=463.211,P=0.000<0.05。其中医保及价格、医疗服务两个维度满意度对患者总体满意度影响最大,标准化回归系数分别为0.406,0.298。同时苏北地区的患者满意度在全省各区域相对最低,得分4.78分。建议在医保及价格、医疗服务等方面加大公立医院综合改革力度,同时改善苏北地区医改现状,将有利于江苏省范围内综合医改的进一步深化和患者满意度的整体提升。

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    【Abstract】Based on the third-party satisfaction survey activity for evaluating the comprehensive reform effect of public hospitals organized by the Jiangsu Medical Reform Office in 2020, this paper analyzes the satisfaction evaluation of the patients in 25 hospitals in Jiangsu Province on the comprehensive reform of public hospitals. Influencing factors in the evaluation of the comprehensive medical reform effect, the results found that patients are generally satisfied with the evaluation of the comprehensive reform effect of public hospitals, with an overall satisfaction rate of 96.3%. Medical insurance and price, medical service, graded diagnosis and treatment system, and medical environment four dimensions of satisfaction have an impact on overall satisfaction, F=463.211, P=0.000<0.05. Among them, the two dimensions of satisfaction with medical insurance, price, and medical services have the greatest impact on the overall satisfaction of patients, and the standardized regression coefficients are 0.406 and 0.298, respectively. At the same time, patient satisfaction in northern Jiangsu is relatively lowest in all regions of the province, with a score of 4.78. It is recommended to increase the comprehensive reform of public hospitals in terms of medical insurance, prices, and medical services, and at the same time improve the status quo of medical reform in northern Jiangsu, which will be conducive to the further deepening of comprehensive medical reform within Jiangsu Province and the overall improvement of patient satisfaction.

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  • 收稿日期:2021-05-31
  • 最后修改日期:2021-08-18
  • 录用日期:2021-10-22
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