广西临桂县定点医院结核病防治模式下患者满意度分析

Analysis on the patient satisfaction about the tuberculosis designated hospital control mode in Lingui county of Guangxi

目的了解定点医院结核病防治模式下肺结核病患者在诊疗过程中的满意度,为进一步完善定点医院的结核病诊疗服务提供参考。方法按照中国全球基金结核病项目办统一制定的调查实施方案要求,在广西定点医院结核病防治项目点临桂县,选择2011-08-01之前登记治疗的20例肺结核患者进行问卷调查。结果 35.0%的患者表示在抗结核病治疗过程中有家人督导服药;90.0%以上的患者对定点医院门诊环境、医护人员服务态度、就诊流程和结核病知识讲解情况表示"满意"和"一般";100.0%的患者对定点医院医生的技术水平表示信任;50.0%的患者认为定点医院的医生讲解的肺结核病防治知识对患者坚持服药产生影响;95.0%的患者表示能承担结核病治疗期间的所有费用;95.0%的患者表示愿意推荐怀疑患结核病的亲属或朋友到定点医院就诊。结论临桂县实施的定点医院结核病防治模式运行效果总体上良好,绝大部分患者对定点医院的诊疗过程持满意的态度。但在患者的治疗管理工作中,应积极探索切合实际的病人服药管理模式,真正实现直接面视下服药(directly observed treatment,DOT)策略。

Objective To understand the patient satisfaction about the tuberculosis designated hospital control mode,in order to provide the reference for improving medical services in the future.Methods According to the unified survey plan which was drafted by the global fund tuberculosis project department,twenty patients who were registered before August 1,2011 were selected,and the questionnaire survey was carried out in the tuberculosis project site Lingui county.Results 35% of the patients got family medicine supervision during the process of TB treatment ;more than 90% of the patient said ＂satisfaction＂and ＂general＂to the evaluations about the environment of outpatient,the service attitude of health care providers,the process of seeing a doctor,the interpretations of TB knowledge and so on;100% of the patient said＂trust＂to the evaluation about the technology of the doctor ;50% of the patient said＂yes＂to the question＂whether or not affected your medication adherence after what the doctor told you？＂;95% of the patient said＂yes＂to the question＂whether or not afford all the cost of the treatment you got ？＂;95% of the patient said＂yes＂to the question＂ whether or not willing to recommend your relatives or friends to the designated hospital when they were suspected tuberculosis？＂.Conclusion The implementation of the tuberculosis designated hospital control mode was good on the whole,most of patients were satisfied on the medical process.But it is necessary to explore practical medication management mode,in order to make the patients to regularly taking medi-cine by DOT strategy.