Patient Satisfaction with Community Health Service Centers as Gatekeepers and the Influencing Factors: A Cross-Sectional Study in Shenzhen, China

Abstract Background This study aimed to investigate the characteristics of frequent attenders (FAs) among older patients in Shanghai, China, and explore the associated factors. Methods This cross-sectional study was conducted in six community health service centers in Shanghai, China, from August to December 2018 based on stratified sampling. On the basis of our preliminary study, FAs were defined as those attending at least four consultations in a month. A self-administered questionnaire was used to collect the clinicodemographic data of the participants. Social support, pain severity, depression, and anxiety were evaluated using the Social Support Revalued Scale, six-point Behavioral Rating Scale, Patient Health Questionnaire–9, and Generalized Anxiety Disorder Scale, respectively. Results This study included 619 patients aged > 60 years. Among these patients, 155 (25%) were FAs to a community health service center, 366 (59.1%) had 1 or 2 chronic diseases, 179 (28.9%) had ≥3 chronic diseases, 313 (50.4%) opted for a family doctor service, and 537 (86.8%) chose a community health service center for the first consultation. The following were identified as independent risk factors for frequent attendance: widowed status, unmarried status, the presence of > 3 chronic diseases, first consultation at a community health service center, high medical expenses, frequent attendance of the spouses, long-term medication, the use of both traditional Chinese and Western medicine services, and depression. Conclusions This study summarizes the characteristics of older FAs to community health service centers in China and identifies 10 risk factors significantly associated with frequent attendance.

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Patient satisfaction and gender composition of physicians - a cross-sectional study of community health services in Hubei, China

BMC Health Services Research ◽

10.1186/s12913-018-3011-3 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

Change Xiong ◽

Xiao Chen ◽

Xinyuan Zhao ◽

Chaojie Liu

Keyword(s):

Patient Satisfaction ◽

Health Services ◽

Community Health ◽

Cross Sectional Study ◽

Community Health Services ◽

Gender Composition ◽

Sectional Study ◽

Cross Sectional ◽

And Gender

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A cross-sectional survey on influencing factors of contracted services of Chinese family doctors : A quantitative and qualitative study

10.21203/rs.2.13878/v1 ◽

2019 ◽

Author(s):

Huanyan Wang ◽

Lei Shi ◽

Xuanye Han ◽

Jinchan Zhang ◽

Lihua Fan

Keyword(s):

Health Service ◽

Community Health ◽

Influencing Factors ◽

Service Providers ◽

Family Doctor ◽

Community Health Service ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Family Doctors

Abstract Background: The family doctor system has gained rapid ground worldwide. In recent years, China has been actively exploring family doctor-type contracted services. The purpose of this study was to explore the influencing factors of Contracted Family Doctors Services (CFDS) from the perspectives of community health service providers, administrators and medical staff, and it provides a strong basis for the development and promotion of CFDS. Methods: A combination of quantitative and qualitative methods was adopted in this study. A cross-sectional survey was conducted among community health service providers and administrators in 12 community health service centers across four provinces (Zhejiang, Anhui, Beijing, and Shanghai) of China. A total of 389 people took the survey. Ultimately, 320 questionnaires were valid. The effective response rate was 82.3%. A total of 36 consumers were interviewed through in-depth interviews. The total effective rate 100.0%. Exploratory factor analysis, confirmatory factor analysis, and expert consultation were used to analyze the influencing factors of CFDS. Results: The factors influencing CFDS from the perspectives of medical staff were divided into four dimensions, with the following weighting coefficients: national government (31.87%), community health service agency factors (24.73%), consumers-related factors (22.58%), and contracted doctor-related factors (20.82%). The factors influencing CFDS from the perspectives of patients/consumers were national policy factors, contracted team factor, and consumers-related factors. Conclusions: National governments, community health agencies, community health workers, and consumers play an important role in the advancement of CFDS. Therefore, the development of CFDS needs to consider the rights and interests of all stakeholders involved.

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Influencing factors of patient satisfaction in teleconsultation: A cross-sectional study

Technological Forecasting and Social Change ◽

10.1016/j.techfore.2021.120775 ◽

2021 ◽

Vol 168 ◽

pp. 120775

Author(s):

Wei Lu ◽

Hongli Hou ◽

Rui Ma ◽

Haotian Chen ◽

Ran Zhang ◽

...

Keyword(s):

Patient Satisfaction ◽

Influencing Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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GAMBARAN KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS KESEHATAN DI RUMAH SAKIT UMUM DAERAH SANJIWANI DI KABUPATEN GIANYAR TAHUN 2018

Bali Medika Jurnal ◽

10.36376/bmj.v5i2.34 ◽

2018 ◽

Vol 5 (2) ◽

pp. 46-55

Author(s):

Ni Luh Putu Devhy ◽

A.A. Istri Dalem Hana Yundari ◽

Ika Setya Purwanti ◽

Diah Prihartiningsih

Keyword(s):

Patient Satisfaction ◽

Health Insurance ◽

Health Service ◽

General Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Know How ◽

Consecutive Sampling

Pendahuluan : Rumah sakit merupakan salah satu pusat pelayanan kesehatan yang diharapkan dapat memberikan pelayanan yang bermutu kepada masyarakat. Berdasarkan penelitian tentang kepuasan pasien rawat jalan pengguna BPJS masih banyak yang merasakan ketidak puasannya. Penelitian Ini Bertujuan Untuk Mengetahui Bagaimanakah Gambaran Kepuasan Pasien Rawat Jalan Peserta BPJS Kesehatan Di Rumah Sakit Umum Daerah Sanjiwani Di Kabupaten Gianyar Tahun 2018. Metode : Rancangan penelitian ini adalah cross-sectional Study yang dilakukan di Rumah Sakit Umum Daerah (RSUD) Sanjiwani Gianyar selama 3 bulan dari bulan Agustus – November 2018. Sampel dipilih secara consecutive sampling sebanyak 60 orang. Data dikumpulkan menggunakan angket. Hasil : Berdasarkan hasil penelitian 30 orang ( 50%) yang menyatakan kepuasannya, dalam aspek tangible didapatkan sebanyak 20 orang (33,3%), untuk aspek realibility didapatkan sebanyak 23 orang (38,3%), aspek responsivnes sebanyak 39 orang (65%), aspek jaminan assurance sebanyak 27 0rang (45%), sedangkan untuk aspek emphaty sebanyak 32 orang (53,3%). Diskusi : Tingkat kepuasan pasien pengguna BPJS kesehatan sudah sebagian besar puas, walaupun demikian ada beberapa aspek yang perlu ditingkatkan seperti pada aspek realibility dan assurance. Untuk itu rumah sakit perlu menyederhanakan sistem administrasi untuk meningkatkan layanan. Kata kunci : kepuasan, rawat jalan, BPJS kesehatan ABSTRACT Introduction : The hospital is one of the health service centers that are expected to provide quality services to the community. Based on research on outpatient satisfaction BPJS users still feel a lot of dissatisfaction. This Research Aims To Know How The Overview Of Outpatient Satisfaction Of BPJS Health Participants In Sanjiwani General Hospital In Gianyar Regency In 2018. Methode : The design of this study was a cross-sectional study conducted at Sanjiwani Regional General Hospital (RSUD) Gianyar for 3 months from August to November 2018. Samples were selected by consecutive sampling of 60 people.Results : Based on the research results of 30 people (50%) who expressed satisfaction, in the tangible aspect obtained as many as 20 people (33.3%), for the reliability aspect obtained as many as 23 people (38.3%), the responsiveness aspect was 39 people (65%) , assurance assurance aspects are 27 people (45%), while for empathy aspects there are 32 people (53.3%). Discussion : The level of patient satisfaction of health BPJS users has been mostly satisfied, although there are several aspects that need to be improved, such as the realibility and assurance aspects. For this reason, hospitals need to simplify administration to improve services.Keywords : satisfaction, outpatient, National health insurance

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Patient satisfaction and associated factors with services provided at outpatient departments

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v8i4.20375 ◽

2019 ◽

Vol 8 (4) ◽

pp. 406

Author(s):

Dereje Mesfin ◽

Tadiwos Gintamo

Keyword(s):

Patient Satisfaction ◽

Health Service ◽

Waiting Time ◽

Multiple Logistic Regression Analysis ◽

Cross Sectional Study ◽

Local Health ◽

Sectional Study ◽

Cross Sectional ◽

Outpatient Departments ◽

Waiting Area

<p>Asking patients what they think how they feel about the health service they have received is an important step towards improving the quality of care and, ensuring that local health services are meeting clients needs and expectations. Facility- based cross-sectional study was conducted from April 1-7, 2019 in randomly selected primary hospitals found in Guraghe zone. There were 266 randomly selected patients who attended the primary hospitals were participated in the study. Data was collected using a interviewer-administered structured questionnaire and analyzed using SPSS version 21. Multiple logistic regression analysis used to identify predictors of patient satisfaction. The overall of patient satisfaction level with the health service provided at the outpatient departments of the primary hospitals was 66.5% (95% C.I. 60.8%-72.2%). waiting time (AOR 3.65), informing patients about cause of illness (AOR, 2.46) and waiting area cleanliness (AOR 2.33) were among the significant predictors of patients satisfaction. Acknowledging the limitation of the cross-sectional study design findings of this study indicate that waiting time, telling the cause of illness, cleanliness of the waiting area are important predictors of patient satisfaction.</p>

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