Patient Satisfaction Research of Townships Hospitals in Cold Region of China Based on Structural Equation Modeling

Wu Yue, Zhao Shuishan, Zheng Wen-zhong
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Abstract

Medical resources are an important part of the basic public service facilities. For a long time, China's medical resources have been highly concentrated in cities, yet the medical service supply is relatively insufficient in rural areas. In the research, investigate the patients of 15 medical and health institutions of township level in cold areas through questionnaires, and reveal the influence factors on patient satisfaction. Conduct factor analysis for handling the influence factors on patient satisfaction through SPSS20.2, and adopt structural equation model to build the route to influence patient satisfaction through AMOS21.0. Sum up five common factors, including conditions of medical institutions, doctor service, nurse service, patient institutions and patient satisfaction. It is good in fitting of structural equation model. Conditions of medical institutions and doctor service have greater influence on patient satisfaction, and nurse service and patient information have relatively less influence. And it is strong in the correlation between conditions of medical institutions, doctor service and nurse service. The results indicate that the residents in towns and villages pay the most attention to the reputation of hospitals, the quality of medical staff, medical expenses, equipment and drugs. Advise grassroots hospitals to strengthen the conditions and construction of service abilities of health clinics in towns and townships, increase the proportion of essential drugs and adjust the compensation standard of NCMS so that it can attract the patients to go to health clinics in towns and townships through the advantages in price. Optimize human resource structure in medical institutions and consolidate the guidance of doctors in health seeking behaviors of residents.
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基于结构方程模型的中国寒区乡镇医院患者满意度研究
医疗资源是基本公共服务设施的重要组成部分。长期以来,中国的医疗资源高度集中在城市,而农村地区的医疗服务供给相对不足。本研究通过问卷调查的方式,对寒区15家乡级医疗卫生机构的患者进行调查,揭示影响患者满意度的因素。通过SPSS20.2对处理患者满意度影响因素进行因子分析,并通过AMOS21.0采用结构方程模型构建影响患者满意度的路径。总结出医疗机构条件、医生服务、护士服务、患者机构和患者满意度五个常见因素。该方法具有较好的结构方程模型拟合效果。医疗机构条件和医生服务对患者满意度的影响较大,护士服务和患者信息的影响相对较小。医疗机构条件、医生服务和护士服务之间存在较强的相关性。结果表明,乡镇居民最关注的是医院声誉、医务人员素质、医疗费用、设备和药品。建议基层医院加强乡镇卫生所的条件和服务能力建设,提高基本药物比例,调整新农合补偿标准,以价格优势吸引患者到乡镇卫生所就诊。优化医疗机构人力资源结构,加强医生对居民就医行为的指导。
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