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第5期 总第106期 南
南京医科大学学报(社会科学版)京医科大学学报(社会科学版)
2021年10月 Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences) · 489 ·
Journal
中,促进供需平衡。二是关注医务人员的工作现 综合改革效果评价[J]. 卫生软科学,2020,34(7):22-
状,落实国家卫健委关于医务人员的医改目标,医 26
务人员的工作积极性需进一步广泛调动,医务人员 [7] 奚华清,孔凡心,谢静,等. 医药价格综合改革对城市公
[3]
满意度的提升是为患者提供更好服务的保障 。三 立医院运营效率的影响[J]. 中国医院管理,2018,38
是借鉴无锡等地较为成熟的医改经验,结合苏北地 (4):15-19
区的医疗水平、经济发展现状、地域特征、医改现状 [8] 饶柳珍,陈亚光. 新医改背景下某公立医院运行情况分
等,建立具有苏北特色的综合医改模式。 析[J]. 中国卫生产业,2018,15(32):184-187
[9] 魏冠男,周金玲,李新钢. 临床路径的推行与医疗费用
参考文献
的控制[J]. 现代医院管理,2018,16(6):55-57,61
[1] 於晓芳. 某三级专科医院患者投诉原因分析与管理措 [10] 王飞,汤少梁,邱英鹏. 城市公立医院综合改革背景下
施探究[J]. 江苏卫生事业管理,2020,31(3):302-305 公立医院发展战略研究——基于SWOT 分析方法[J].
[2] 程灶火,王锦帆,刘新民. 医患关系的关键影响因素:患 安徽医学,2016,37(5):618-621
方利益诉求[J]. 南京医科大学学报(社会科学版), [11] 张瑞华,赵大仁,何思长,等. 我国医联体实践的问题
2014,14(2):121-124 探析与思考[J]. 卫生经济研究,2016(6):12-15
[3] 国家卫生计生委医政医管局. 关于印发进一步改善医 [12] 葛良君,徐济达. 鼓楼医院实施医患沟通长效机制效
疗 服 务 行 动 计 划 的 通 知[EB/OL]. [2020- 01- 28]. 果评价研究[J]. 南京医科大学学报(社会科学版),
http://www.nhc.gov.cn/yzygj/s3593g/201501/5584853cf 2012,12(6):465-467
a254dlaa4e38de0700894fa.shtml [13] 李逸群,孔庆林. 徐州市某专科医院在公立医院综合
[4] 国务院办公厅. 国务院办公厅关于城市公立医院综合 改革中的实践[J]. 江苏卫生事业管理,2019,30(10):
改革试点的指导意见[EB/OL].[2020-05-17]. http:// 1229-1231
www.gov.cn/zhengce/zhengceku/2015-05/17/content_977 [14] 罗小虎. 苏北地区医护人员工作压力与心理健康关系
6.htm [J]. 中国公共卫生,2014,30(3):339-1342
[5] 林小军. 资源与质量约束下三级公立综合医院效率评 [15] 张树兵,张桂祯. 医务人员职业倦怠的成因及其对策
价与影响因素研究[D]. 武汉:华中科技大学,2019 [J]. 西南军医,2014,16(4):460-461
[6] 龚超,叶程,薛亮,等. 基于因子分析的天津市公立医院 (本文编辑:姜 鑫)
Research on patient satisfaction evaluation of comprehensive reform
effect in public hospitals
1,2
LIU Yu ,LIN Zhenping 1
1. School of Health Policy and Management,Nanjing Medical University,Nanjing 211166;2. Office of Discipline Inspection
Commission,Suqian First People’s Hospital,Suqian 223800,China
Abstract:This paper analyzed the satisfaction evaluation of the patients in 25 hospitals in Jiangsu
Province on the comprehensive reform of public hospitals. The results showed that patients were generally
satisfied with the evaluation of the comprehensive reform effect of public hospitals. The satisfaction of four
dimensions of medical insurance and price,medical services,the tiered system of diagnosis and treatment,
and the medical environment all had impact on the overall satisfaction,F=463.211,P<0.001. Among them,
the satisfaction of two dimensions,i.e. medical insurance and price,together with medical services,had the
greatest impact on the overall satisfaction of patients,and the standardized regression coefficients were 0.406
and 0.298,respectively. At the same time,patient satisfaction in northern Jiangsu was the lowest in all regions
of the province,with a score of 4.78. It is recommended to enhance 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.
Key words:comprehensive reform of public hospitals;effect evaluation;patient satisfaction;influencing
factors