摘要
目的:研究农村患者对乡村医生满意度的影响因素。方法:基于贵州省六盘水市的实地调查数据,采用结构方程模型,从乡村医生的外在形象、服务质量、诊疗质量和和谐医患关系四个维度进行研究。结果:研究发现诊疗质量对农村患者满意度的直接影响最大,其次为服务质量、外在形象和和谐的医患关系,农村患者满意与否对农村患者忠诚度影响比较明显。结论:农村患者对乡村医生的满意度和忠诚度主要基于亲缘和地缘关系,受诊疗技术、诊疗环境、诊疗设备、服务意识等限制,乡村医生的"守门人"角色无法体现,基层卫生体系受到严重的影响。
Objective: To study the determinants that affect patient satisfaction to rural doctors. Methods:Based on survey data of Liupanshui City,Guizhou Province,structural equation modeling analysis was adopted,and the study was mainly from the following four aspects: the image of rural doctors,service quality,quality of diagnosis and treatment,and harmonious doctor-patient relationships. Results: The study found that the quality of diagnosis and treatment had the greatest direct impact on rural patient satisfaction,followed by service quality,the image of rural doctors and harmonious doctor-patient relationships; rural patient satisfaction has a significant impact on rural patient loyalty. Conclusion: Rural patient satisfaction and loyalty to rural doctors is mainly based on kinship and geopolitical relations; given the state of medical technology,the medical environment,medical equipment,service awareness and other restrictions,rural doctors cannot fulfill the "gatekeeper"role,and consequently,the primary healthcare system has been severely affected.
出处
《中国卫生政策研究》
CSCD
2014年第9期26-32,共7页
Chinese Journal of Health Policy
基金
中国人民大学科学研究基金(中央高校基本科研业务费专项)(14XNH050)
关键词
乡村医生
患者满意度
服务质量
诊疗质量
结构方程分析
Rural doctors
Patient satisfaction
Service quality
Quality of diagnosis and treatment
Doctor-patient relationship
Structural equation analysis