公立医院综合改革效果患者满意度评价研究

Research on patient satisfaction evaluation of comprehensive reform effect in public hospitals

文章对江苏省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,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。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<0.001)。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和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。

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.