[监测医疗服务满意度的世界经验:分析评论]。

D S Tyufilin, V P Chigrina, O S Kobyakova, I A Deev
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引用次数: 0

摘要

从实现以患者为导向的结果的角度来看,患者满意度是用于评估医疗质量及其有效性的关键指标之一。如今,评估患者对医疗服务满意度的工具已在世界各地广泛应用。为了更好地了解该指标的动态变化,并对俄罗斯的满意度水平进行预测,有必要借鉴世界各国在监测民众对医疗服务满意度方面的经验。本研究旨在分析现有的国家医疗服务满意度监测系统,并确定特定的既定趋势。研究使用 PubMed、Google Scholar、ResearchGate 和 eLibrary 等数据库搜索免费获取的出版物。关键词为患者满意度、国家监测、满意度趋势。分析结果表明,在许多国家,衡量病人对医疗服务的满意度已成为常规做法,也是医疗机构和整个医疗服务效率评估的组成部分。对医疗服务的最初满意度取决于人口的多种变量,包括人口的主要种族、文化和国籍、性别和年龄结构、社会经济条件、收入水平以及城市或农村人口的比例。大多数国家满意度的动态变化表明,尽管在不同的满意度领域存在差异,但各项指标的增长稳定而缓慢,且在统计上并不显著。所确定的因素既要在联邦一级加以考虑,以得出正确的结论,也要在地区一级加以考虑,以制定相应的措施。
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[The world experience of monitoring of satisfaction with medical care: the analytical review].

The satisfaction of patients is one of key indicators used to assess quality of medical care and its effectiveness from point of view of achieving patient-oriented results. Nowadays, the tools assessing patient satisfaction with medical care are largely applied all over the world. The world experience of monitoring satisfaction of population with medical care is necessary for better understanding of dynamics of indicator and possible forecasting of its level in Russia. The purpose of the study is to analyze existing national systems of monitoring satisfaction of patient with medical care and to identify particular established trends. The search for free access publications was implemented using such databases as PubMed, Google Scholar, ResearchGate and eLibrary. The keywords patient satisfaction, national monitoring, satisfaction trends, The sampling included 55 publications. The analysis established that in many countries measurement of degree of satisfaction of patient with medical care become routine practice and integral part of of evaluation of efficacy of both medical organizations and health care in a whole. The initial level of satisfaction with medical care depends on multitude of population variables, including predominant race, culture and nationality of population, gender and age structure, social economic conditions, level of incomes and prevalence of urban or rural population. The dynamics of satisfaction level in most countries demonstrates steady, but slow and statistically insignificant increasing of indicators, though different in various domains of satisfaction. The identified factors are to be considered both at the Federal level to formulate correct conclusions and at the regional level to develop corresponding measures.

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234
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