摘要
目的探讨广东省异地就医住院患者对就医过程的满意情况及影响因素,分析异地就医存在的问题并提出政策建议。方法采用问卷调查方法,于2017年8月,在广东省所有异地就医定点医疗机构中,针对广东省异地就医住院患者发放6 000份调查问卷,并对数据进行描述性统计分析、χ~2检验及二分类logistic回归分析。结果在5 786例被调查者中,对异地就医总体满意的有4 861例(占84.0%);不满意的有925例(占16.0%)。多因素logistic回归分析显示,入院手续、就医环境、异地就医便捷性、政策了解情况、异地就医直接结算5个变量是异地就医住院患者满意度的影响因素(P<0.05)。结论异地就医住院患者满意率有待提高,可通过宣传普及异地就医政策,改善医务人员服务态度,提高医院技术水平,完善异地就医直接结算系统,提高异地就医患者满意度。
Objective To investigate the satisfaction to medical service and its influencing factors among inpatients having the medication which could not be reimbursed by the local medical care system in Guangdong province and to analyze obstacles for medication with cross-region reimbursement for making relevant strategies. Methods With convenient sampling, we conducted a questionnaire survey among 6 000 patients hospitalized in all designated medical institutions providing medication with cross-region reimbursement during August 2017 in Guangdong province. We used descriptive analysis, chi-square test, and binary logistic regression in data analyses. Results Of the 5 786 participants providing valid information, 84.0%(4 861) were satisfactory to the medication they received and 16.0%(925) were unsatisfactory. The results of logistic regression analysis revealed that main influencing factors of satisfaction to medication with cross-region reimbursement were admission procedure, hospital environment, convenience of medication, awareness of relevant regulations, and direct settlement of cost for medication with cross-region reimbursement(P < 0.05 for all). Conclusion The satisfaction to medical service among inpatients without locality medical care remains to be improved by popularizing relevant regulations, perfecting service attitude of medical personnel, upgrading medication quality, and optimizing direct settlement system for medication with cross-region reimbursement.
作者
徐昌圆
曹彦
彭锐豪
韦薇
曾路情
陈唯
夏苏建
XU Chang-yuan;CAO Yan;PENG Rui-hao(Department of Medical Statistics,School of Basic Medicine,Ji'nan University,Guangzhou,Guangdong Province 510632,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2019年第2期167-170,共4页
Chinese Journal of Public Health
关键词
异地就医
住院患者
满意度
影响因素
medication with cross-region reimbursement
inpatient
satisfaction rate
influencing factor
